Brown, Malissa Rene

Brown, Malissa Rene is an individual health care provider with primary practice located at 200 Patewood Dr Suite A14, Greenville SC 29615-3593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brown, Malissa Rene can be contacted via phone (864) 454-2226.

Contact Information

Primary practice address
200 Patewood Dr Suite A14 Greenville SC 29615-3593
Phone: (864) 454-2226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2449 South Carolina

Profile Details

NPI number 1578515144
LBN Legal business name Brown, Malissa Rene
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 5th, 2021 - about 4 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 1578515144 NPPES
South Carolina MEDICAID NP0359
South Carolina Other 57-6007863106

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