MISS JOAN ICILDA BROWN
NPI 1912478868
Nurse Practitioner - Primary Care in Ellenwood, GA

Active since December 17, 2018
3341 MEADOVISTA DR, ELLENWOOD, GA 30294(917) 843-8386 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Joan Icilda Brown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JOAN ICILDA BROWN (NPI 1912478868) is an individual primary care provider in Ellenwood, Georgia, licensed in Georgia (RN177358) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1912478868
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMISS JOAN ICILDA BROWN
Location Address3341 MEADOVISTA DREllenwood, GA 30294-6638
Mailing Address3341 Meadovista DrEllenwood, GA 30294-6638 · (917) 843-8386
Sole ProprietorNo
Enumeration DateDecember 17, 2018
NPI 1912478868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in GA · RN177358
Also ListedRegistered NurseTaxonomy 163W00000X · License RN177358 (GA)
3341 MEADOVISTA DR, Ellenwood, GA 30294

Other Names 1

Professional Name (2)Joan Icilda Brown Fnp-c

Other Identifiers 1

OtherF10181019GA · Certification

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joan Brown's NPI number?

The NPI number for Joan Brown is 1912478868. It was assigned to this individual provider in the NPPES registry on December 17, 2018. The provider is also known as Joan Icilda Brown Fnp-C.

Where is Joan Brown located?

Joan Brown practices at 3341 Meadovista Dr, Ellenwood, GA 30294. The listed phone number is (917) 843-8386.

What is Joan Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Joan Brown was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.