Provider Demographics
NPI:1598491821
Name:BROWN, EMILY ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 S MONTGOMERY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3337
Mailing Address - Country:US
Mailing Address - Phone:662-338-4826
Mailing Address - Fax:662-268-8052
Practice Address - Street 1:521 S MONTGOMERY ST STE 1
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3337
Practice Address - Country:US
Practice Address - Phone:662-338-4826
Practice Address - Fax:662-268-8052
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS905398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily