Individual
LA-CHANDA MICHELLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
616 HIGHWAY 82 W, INDIANOLA, MS 38751-2035
(662) 635-8681
Mailing address
1149 GARDEN DR, GREENVILLE, MS 38703-6628
(662) 820-6022
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
902622
MS
363LF0000X
Family Nurse Practitioner
Primary
902622
MS
363LF0000X
Family Nurse Practitioner
A005678
AR
363LF0000X
Family Nurse Practitioner
APN0000024237
TN
363LS0200X
School Nurse Practitioner
902622
MS
Other
Enumeration date
07/20/2018
Last updated
01/25/2024
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