Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Eric Brown Jr., ACNPC-AG

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639967490

Mr. Michael Eric Brown Jr., ACNPC-AG is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463
Phone: (480) 999-4954
Fax: (480) 999-4712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 323282 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RN209649 (AZ)

Record details

NPI number1639967490
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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