Individual
GINGER ADALINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-3917
Mailing address
680 COUNTY ROAD 1523, LOUIN, MS 39338-4852
(601) 362-4471
(601) 368-3917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R543705
MS
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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