Provider Demographics
NPI:1689268047
Name:BROWN, BRENNA KASSIA (FNP)
Entity type:Individual
Prefix:
First Name:BRENNA
Middle Name:KASSIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4002 GARTH RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3179
Mailing Address - Country:US
Mailing Address - Phone:281-628-7240
Mailing Address - Fax:281-428-4044
Practice Address - Street 1:4002 GARTH RD STE 120
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3179
Practice Address - Country:US
Practice Address - Phone:281-628-7240
Practice Address - Fax:281-428-4044
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5017336363LF0000X
TX1031036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily