| NPI | 1295493542 |
|---|---|
| Former Name | JOSEPH BLAKE BRAWLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC 1054590) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R244355) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2025-10-16 |