Gwendolyn J Brown, APN | |
207 S Lebanon St, Lebanon, IN 46052-2544 | |
(765) 482-3630 | |
Not Available |
Full Name | Gwendolyn J Brown |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 207 S Lebanon St, Lebanon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497990139 | NPI | - | NPPES |
000000621586 | Other | IN | ANTHEM PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71002816A (Indiana) | Primary |
Entity Name | Informe Healthcare In, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992276638 PECOS PAC ID: 9537407770 Enrollment ID: O20190213000486 |
Entity Name | Informe Hc Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255917647 PECOS PAC ID: 5698184885 Enrollment ID: O20210428002612 |
Mailing Address | Practice Location Address |
---|---|
Gwendolyn J Brown, APN 207 S Lebanon St, Lebanon, IN 46052-2544 Ph: (765) 482-3630 | Gwendolyn J Brown, APN 207 S Lebanon St, Lebanon, IN 46052-2544 Ph: (765) 482-3630 |
Lisa J Frye, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727 | |
Mrs. Nora Camille Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727 | |
Mrs. Staci Jeanne Sides, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 | |
Allison Rae Shrack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 | |
Mr. Mitchell Lee Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 | |
Jennifer Holladay, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 765-482-3630 | |
Alexandria Joanne Roemke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 |