Brown, Madison Avara

Brown, Madison Avara is an individual health care provider with primary practice located at 3109 Bienville Blvd , Ocean Springs MS 39564-4361. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brown, Madison Avara can be contacted via phone (228) 875-3778.

Contact Information

Primary practice address
3109 Bienville Blvd Ocean Springs MS 39564-4361
Phone: (228) 875-3778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1161 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00287 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1161 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00287 Mississippi

Profile Details

NPI number 1356796577
LBN Legal business name Brown, Madison Avara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2016
Last updated May 2nd, 2022 - about 3 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 1356796577 NPPES
Mississippi MEDICAID 02227801

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