Individual
JETUWAN M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
115 AULENBROCK DR STE A, CANTON, MS 39046-7061
(601) 278-6710
Mailing address
103 HONOURS DR, MADISON, MS 39110-6513
(601) 278-6710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R875060
MS
Other
Enumeration date
09/18/2012
Last updated
04/21/2022
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