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Export Provider Record NPI 1104941053
Amanda G BrownFNP
Active
NPI Number1104941053
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1104941053
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-03-20
Last Updated2013-10-23
Mailing AddressPo Box 667
La Follette, TN 37766-0601
United States
Phone: (423) 869-3332 | Fax: (423) 869-3332
📍 View Map
Primary Practice Address6976 Cumberland Gap Pkwy
Harrogate, TN 37752-8230
United States
Phone: (423) 869-3332 | Fax: (423) 869-3332
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyTN0380907
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About NPI 1104941053

Amanda G Brown FNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104941053. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Harrogate, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104941053?

NPI 1104941053 belongs to Amanda G Brown FNP, a Nurse Practitioner, Family in Harrogate, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104941053 active?

The current status of NPI 1104941053 in the NPPES registry is Active. The record was last updated on 2013-10-23.

What specialty is NPI 1104941053?

NPI 1104941053 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104941053?

You can verify NPI 1104941053 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104941053?

The primary practice address on file for NPI 1104941053 is 6976 Cumberland Gap Pkwy, Harrogate, TN 37752-8230. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104941053 issued?

NPI 1104941053 was first issued (enumerated) on 2007-03-20. The NPPES record was last updated on 2013-10-23.

Practice Location Map

Amanda G Brown is located at 6976 Cumberland Gap Pkwy, Harrogate, TN. Use the map below to find directions or verify the practice location.

📍 6976 Cumberland Gap Pkwy, Harrogate, TN 37752-8230  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Amanda G Brown. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104941053. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Family0380907TN
Data Verified from CMS NPPES Last synced: 2026-08-11 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162