Brown, Ludella
Brown, Ludella is an individual health care provider with primary practice located at 114 Canal Street Suite 402, Pooler GA 31322-4052. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brown, Ludella can be contacted via phone (912) 450-0999.Contact Information
Primary practice address
114 Canal Street Suite 402
Pooler GA 31322-4052
Phone: (912) 450-0999
Fax: (912) 450-0998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN064864 | Georgia |
Profile Details
| NPI number | 1700999760 |
|---|---|
| LBN Legal business name | Brown, Ludella |
| Credentials | APRN NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Aug 30th, 2016 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700999760 | NPPES |
| Georgia | MEDICAID | 153640219H | |
| Georgia | MEDICAID | 153640219D | |
| Georgia | MEDICAID | 153640219E | |
| Georgia | MEDICAID | NP0884 | |
| Georgia | Other | P00418168 |
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