Provider Demographics
NPI:1598902447
Name:BROWN, FELECIA (CNM WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:FELECIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNM WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 11TH ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-5033
Mailing Address - Country:US
Mailing Address - Phone:601-485-8974
Mailing Address - Fax:601-483-6129
Practice Address - Street 1:2420 11TH ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-5033
Practice Address - Country:US
Practice Address - Phone:601-485-8974
Practice Address - Fax:601-483-6129
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS619531176B00000X
MS903304363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07055552Medicaid
MSP01886710OtherRRMC PTAN
MS588450YK4COtherMEDICARE PTAN
AL202395Medicaid