Doctor Name: | MICHELLE BROWN |
NPI Number: | 1093192791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DOM05768 |
Business Practice Address: | 3624 Jody Nelson Dr Apt D12 Gulfport, MS - 395073014 |
Business Phone Number: | 2285633501 |
Business Fax Number: | 2288677077 |
Mailing Address: | 3624 Jody Nelson Dr Apt D12, GULFPORT |
State: | MS |
Postal Code: | 395073014 |
Phone Number: | 2285633501 |
Fax Number: | 2288677077 |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251E00000X |
License Number: | DOM05768 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Health |
Taxonomy Specialization: | |
Taxonomy Definition: | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |