Brown Family Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R860780 Issued in MS

Legal business name

BROWN FAMILY MEDICAL CLINIC, LLC

Practice address

102 Business Park Dr
Suite G
Ridgeland, MS 39157-6016

Phone

(601) 842-3726

NPI assigned

Oct 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shari Renia Brown, FNP-BC

Title

Family Nurse Practitioner

Phone

(601) 842-3726

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1053716423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BUSINESS PARK DR",
            "address_2": "SUITE G",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576016",
            "telephone_number": "601-842-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BUSINESS PARK DR",
            "address_2": "SUITE G",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576016",
            "telephone_number": "601-842-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "RENIA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-842-3726",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rachael Brooks, PA
• Brookshire Grocery Company
• Kayla Broome, SLP
• Sandra Denise Brossett
• James Broussard, PH.D.
• Anne Brown, SLP
• Carly Baker Brown, PHARM.D.
• Clyde Brown Jr.
• Essqulena Oliphant Brown, MS
• Larry Neal Brown, LPC, LMFT

• Family Nurse Practitioner in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.