Individual
JESSICA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
112 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 227-0045
Mailing address
3951 US HIGHWAY 93 S LOT 6, THOMASVILLE, GA 31792-1755
(229) 378-4949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
RN245084
GA
363LF0000X
Family Nurse Practitioner
Primary
RN245084
GA
Other
Enumeration date
11/23/2019
Last updated
09/21/2020
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