Provider Demographics
NPI:1003893579
Name:WATKINS-BROWN, FELICIA ANNETTE (MD)
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:ANNETTE
Last Name:WATKINS-BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:FELICIA
Other - Middle Name:ANNETTE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71646-0232
Mailing Address - Country:US
Mailing Address - Phone:870-853-2871
Mailing Address - Fax:
Practice Address - Street 1:319 W PARKER ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646-3121
Practice Address - Country:US
Practice Address - Phone:870-853-8271
Practice Address - Fax:870-853-8271
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE7592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205236011Medicaid
AR195352001Medicaid
056010753Medicare ID - Type Unspecified
AR195352001Medicaid