Willie M Brown in Jackson - Nurse Anesthetist, Certified Registered

Willie M Brown - NPI 1518063007

Willie M Brown is a Nurse Anesthetist, Certified Registered in Jackson, Tennessee. Willie M Brown practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Willie M Brown is 1518063007. The last update date is 2008-11-03.

Willie M Brown's current location address is 708 W Forest Ave, Jackson, Tennessee. You can contact this provider via phone number 7319277070 and fax number 7319277075. The mailing address for Willie M Brown is 708 W Forest Ave, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Willie M Brown
Address 708 W Forest Ave, Jackson, Tennessee
Phone Number 7319277070
Fax Number 7319277075
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1518063007
Provider Enumeration Date 2006-09-15
Last Updated Date 2008-11-03

Provider Mailing Address Detail

Address 708 W Forest Ave
City Jackson
State Tennessee (TN)
Post Code 383013901
Phone Number 7319277070
Fax Number 7319277075

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No APN11499
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3636774 TN --
P00429939 TN RAILROAD MEDICARE

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FAQs about Willie M Brown

What is the unique identifier code issued to Willie M Brown by the Centers for Medicare & Medicaid Services (CMS)?

The Willie M Brown has been assigned the NPI (National Provider Identifier) 1518063007. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Willie M Brown?

The Willie M Brown is physically situated at 708 W Forest Ave, in the city of Jackson, state of TN, with the postal code 383013901.

What is Willie M Brown's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Willie M Brown is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1518063007 to Willie M Brown?

The Willie M Brown received its 1518063007 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.

When was the information pertaining to Willie M Brown most recently updated or revised?

The details related to Willie M Brown, including its address, specialty, and other relevant information, were last updated or revised on 2008-11-03.

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