Chrystal G Brown, FNP-C, APRN
Individual provider Active NPI Family Nurse Practitioner · Linden, TX
NPI 1205428604 · NPPES record last updated Feb 7, 2021
Key facts
- NPI
- 1205428604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1025774 (TX)
- Practice address
- 402 N Kaufman St # 5234
Linden, TX 75563-5234 - Phone
- (903) 756-5581
- NPI assigned
- Feb 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210322001644 | TX | Practitioner - Nurse Practitioner | 2860809720 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1025774 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phynet, Inc. | Current |
Accepting new patients | |
| Phynet, Inc. | Past | Accepting new patients |
Locations
307 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2159
402 N Kaufman St
Linden, TX 75563
Phone (903) 665-9500
402 N Kaufman St
#5234
Linden, TX 75563
Phone (903) 756-5581
4002 Technology Ctr
Longview, TX 75605
Phone (903) 247-0484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1025774 | TX | Yes |
Addresses
Primary practice location
402 N Kaufman St # 5234
Linden, TX 75563-5234
Mailing address
230 County Road 4231
Mount Pleasant, TX 75455-8876
Phone (903) 466-2997
Other providers in Linden, TX
- B2TF LTC Pharmacy LLC
- Chambers County Public Hospital District No 1
- Ian Coker
- Community Services of Northeast Texas, Inc
- Community Services of Northeast Texas, Inc.
- Good Shepherd Medical Center - Linden Inc
All providers in Linden, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.