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Individual

MR. STACY MAURICE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
290 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2654
(601) 933-2500
Mailing address
290 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2654
(601) 825-7280

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902554
MS

Other

Enumeration date
03/29/2018
Last updated
03/29/2018
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