Brown, Millicent L
Brown, Millicent L is an individual health care provider with primary practice located at 212 5Th Ave , Bay Shore NY 11706-6408. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Brown, Millicent L can be contacted via phone (917) 864-7560.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F303967-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN178172 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F303967-01 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN178172 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F403183-01 | New York |
Profile Details
| NPI number | 1407994940 |
|---|---|
| LBN Legal business name | Brown, Millicent L |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2007 |
| Last updated | Apr 1st, 2025 - about last year |
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 | 1407994940 | NPPES |
| Georgia | MEDICAID | 318335117B | |
| Georgia | MEDICAID | F403183-01 | |
| Georgia | MEDICAID | 003239266A |
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