Most Relevant Information
Provider Data
| NPI Number: | 1003427899 |
| Provider Name: | COLLETTE G BROWN NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 213785 |
Most Important Dates
| Enumeration Date: | 08/14/2020 |
| Last Updated: | 08/14/2020 |
Provider Practice Location
2449 HOSPITAL DR STE 400
BOSSIER CITY
LA
711111914
Practice Location Phone/Fax
| Phone: | 3182127902 |
| Fax: | 3182127905 |
Provider Mailing Location
913 LAZYWOOD LN
SHREVEPORT
LA
711085911
Provider Mailing Phone/Fax
| Phone: | 3184232538 |
| Fax: |