Individual
WILLIE M BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
27A MEDICAL CENTER DR, JACKSON, TN 38301-3949
(731) 280-0157
(731) 424-0774
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11499
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3636774
—
TN
05
—
Q082755
—
TN
Enumeration date
09/15/2006
Last updated
02/16/2026
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