Provider Demographics
NPI:1114803756
Name:BROWN, DASHAWNA LYNNELLE
Entity type:Individual
Prefix:
First Name:DASHAWNA
Middle Name:LYNNELLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-2909
Mailing Address - Country:US
Mailing Address - Phone:660-202-2129
Mailing Address - Fax:
Practice Address - Street 1:617 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-2909
Practice Address - Country:US
Practice Address - Phone:660-202-2129
Practice Address - Fax:660-202-2129
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care