Chiquana Brown
Individual provider Active NPI Nurse's Aide · Collierville, TN
NPI 1780225581 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1780225581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA0008538145 (TX)
- Practice address
- 1133 Polo Dr
She 104
Collierville, TN 38017 - Phone
- (901) 472-4100
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA0008538145 | TX | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Health Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA0008538145 | TX | Yes |
Addresses
Primary practice location
1133 Polo Dr
She 104
Collierville, TN 38017
Mailing address
7710 W Interstate 10
San Antonio, TX 78230-4711
Phone (210) 377-3355
Other providers in Collierville, TN
- Tyler James Brolin
- Meggin Bea Brooks
- Rachelle Latrice Brooks
- Teirany Brooks
- Alex Brower
- Christy Hamon Bruno
- Troy Brunson
- Kristy Lynn Bryan
- Mackenzie Elizabeth Bryan
- Mary Ann H Bryan
All providers in Collierville, TN · Nurse's Aide in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.