STACY BROWN OT NPI 1952723603

NPI Information

NPI: 1952723603
Provider Name: STACY BROWN, OT
Classification: Clinical Nurse Specialist - 364SX0106X
Entity Type: Individual

Specialization: Occupational Health

Address:
901 18TH ST E
TIFTON, GA
ZIP 31794
Phone: (229) 353-6124
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Stacy Brown, OT is an occupational health clinical nurse specialist in Tifton, GA. Stacy Brown, OT NPI is 1952723603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 18TH ST E
TIFTON, GA
ZIP 31794-648
Phone: (229) 353-6124
Fax: (229) 353-7722

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SX0106X	Clinical Nurse Specialist	Occupational Health	OTA001175	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTA001175	OTHER	GEORGIA	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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