Brown, Cicely Kinisha

Brown, Cicely Kinisha is an individual health care provider with primary practice located at 805 Lanier Ave E , Fayetteville GA 30214-2204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brown, Cicely Kinisha can be contacted via phone (770) 694-6349.

Contact Information

Primary practice address
805 Lanier Ave E Fayetteville GA 30214-2204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NCO-000003 Georgia

Profile Details

NPI number 1578301891
LBN Legal business name Brown, Cicely Kinisha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2024
Last updated Jul 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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