BROWN FAMILY MEDICAL CLINIC LLC NPI 1053716423

NPI Information

NPI: 1053716423
Provider Name: BROWN FAMILY MEDICAL CLINIC, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 25D2086330

Address:
102 BUSINESS PARK DR
SUITE G
RIDGELAND, MS
ZIP 39157
Phone: (601) 842-3726
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BROWN FAMILY MEDICAL CLINIC, LLC is a family nurse practitioner in Ridgeland, MS. BROWN FAMILY MEDICAL CLINIC, LLC NPI is 1053716423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 BUSINESS PARK DR
SUITE G
RIDGELAND, MS
ZIP 39157-016
Phone: (601) 842-3726

The provider's authorized official is Shari Renia Brown .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (601) 842-3726.

The CLIA number assigned to this NPI record is 25D2086330 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R860780	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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