Individual
VICTORIA DELORES BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
5155 KEELE ST APT 22D, JACKSON, MS 39206-4331
(601) 331-0559
Mailing address
PO BOX 13712, JACKSON, MS 39236-3712
(601) 331-0559
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
902703
MS
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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