Individual
CARLA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
102 WEST FREEDOM DRIVE, LIBERTY, MS 39645-0511
(601) 657-8091
(225) 657-1085
Mailing address
PO BOX 511, LIBERTY, MS 39645-0511
(601) 657-8091
(601) 657-1085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R886751
MS
363LF0000X
Family Nurse Practitioner
AP08105
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08587279
—
MS
Enumeration date
10/15/2010
Last updated
03/17/2018
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