Brown, Keila

Brown, Keila is an individual health care provider with primary practice located at 3502 W Northside Dr , Jackson MS 39213-4454. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Brown, Keila can be contacted via phone (601) 362-5321.

Contact Information

Primary practice address
3502 W Northside Dr Jackson MS 39213-4454
Phone: (601) 362-5321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R888285 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R888285 Mississippi

Profile Details

NPI number 1518380120
LBN Legal business name Brown, Keila
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2014
Last updated Oct 24th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518380120 NPPES
Mississippi MEDICAID 05800329

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