Individual
BRADY K LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, CEN
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
138 MEADOWCREEK DR, BRANDON, MS 39042-8808
(601) 940-2549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903014
MS
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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