Individual
RICHARD BROWN RAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3413 WASHINGTON AVE, GULFPORT, MS 39507-3039
(228) 206-7780
(228) 206-7803
Mailing address
3413 WASHINGTON AVE, GULFPORT, MS 39507-3039
(228) 206-7803
(228) 206-7803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R865840
MS
Other
Enumeration date
11/13/2010
Last updated
05/07/2019
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