Individual
JASON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
12404 SILVERSTREAM LN, MANOR, TX 78653-2242
(252) 725-9776
Mailing address
12404 SILVERSTREAM LN, MANOR, TX 78653-2242
(252) 725-9776
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1076009
TX
Other
Enumeration date
05/07/2022
Last updated
05/07/2022
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