Individual
LONI MIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, FNP-BC
Contact information
Practice address
14859 CALCUTTA DR, GULFPORT, MS 39503-1149
(769) 717-4059
Mailing address
14859 CALCUTTA DR, GULFPORT, MS 39503-1149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
916270
MS
363L00000X
Nurse Practitioner
Primary
906516
MS
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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