IndividualActive
Brandi Brown, CPNP-AC
NPI 1194262279 · Pediatric Nurse Practitioner · South Bend, IN
Provider details
- NPI number
- 1194262279
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- AP132688 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1901 W Western Ave Ste B
South Bend, IN 46619-3570
Phone: (574) 234-9033
Fax: (574) 847-7200
Approximate (ZIP-level) locationGet directions
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Registry dates
- Enumerated
- 2017-01-26
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.