Individual
BRIAN G BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
384D CARRIAGE HOUSE DRIVE, JACKSON, TN 38305-2268
(731) 256-2006
(731) 256-2007
Mailing address
384D CARRIAGE HOUSE DRIVE, JACKSON, TN 38305-2268
(731) 256-2006
(731) 256-2007
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN0000108574
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3901452
—
TN
05
—
3901456
—
TN
01
—
3901457
MEDICARE SYMED
TN
Enumeration date
01/17/2006
Last updated
02/25/2008
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