WANDA BROWN (NPI# 1083071237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083071237 |
| Entity Type | Individual |
| Full Name | WANDA BROWN |
| Credential | WHNP |
| Practice Address |
401 Southcrest Cir Suite 105 Southaven MS 38671-6726 |
| Mailing Address |
P O Box 1000 Dept 978 Memphis TN 38104-0978 |
| Practice Telephone | 6623494322 |
| Practice Fax Number | 6623496364 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
901414 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674639 | Wanda Jane Brown | Day Training/Habilitation Specialist | 804 Broad St, Summersville, WV 26651-1796 | 2020-06-23 |
| 1144690553 | Wanda Brown | Registered Nurse | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2015-09-28 |
| 1265619001 | Wanda N Brown | Registered Nurse | 819 Water St Ste 300, Kerrville, TX 78028-5330 | 2008-01-23 |
| 1033244991 | Wanda Sims Brown | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2007-02-22 |
| 1154405710 | Wanda F Brown | Nurse Practitioner | 204 S Adams St, Saint Croix Falls, WI 54024-9449 | 2006-10-24 |
| Street Address |
401 SOUTHCREST CIR SUITE 105 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569935 | Sanjay Ratnakant | Internal Medicine | 401 Southcrest Cir, Ste 212, Southaven, MS 38671-6721 | 2005-06-21 |
| 1295240414 | Jenna Scruggs | Nurse Practitioner | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2017-12-11 |
| 1225403579 | Jodie Orr | Physical Therapist | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2015-12-10 |
| 1487072864 | Shannon Rose Woods | Nurse Practitioner | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2014-04-02 |
| 1669602603 | Rajeev Gupta | Internal Medicine | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2009-07-24 |
| 1881850345 | Upasna Aron | Internal Medicine | 401 Southcrest Cir, Ste 201, Southaven, MS 38671-6726 | 2008-08-04 |
| 1093973836 | Urology Group PC | Urology | 401 Southcrest Cir, Suite 201, Southaven, MS 38671 | 2008-05-29 |
| 1679742944 | Adult Neurology Clinic Pllc | General Acute Care Hospital | 401 Southcrest Cir, Suite 210, Southaven, MS 38671-6726 | 2008-02-21 |
| 1255531885 | Foundation Internal Medicine, P.C. | Clinic/Center | 401 Southcrest Cir, Suite 207, Southaven, MS 38671-6726 | 2007-07-22 |
| 1942400882 | Ma Tessa Lolita Diaz Layugan | Specialist | 401 Southcrest Cir, #104, Southaven, MS 38671-6726 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033571054 | Debra Gail Gill | Nurse Practitioner | 4892 Briarton Dr, Southaven, MS 38672-9571 | 2016-03-29 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| 1336465301 | Kristen Lee Duncan | Nurse Practitioner | 7900 Airways Blvd Ste 2, Southaven, MS 38671 | 2010-04-15 |
| 1689710402 | Jennifer B Fredrickson | Nurse Practitioner | 5740 Getwell Rd, Building 1, Suite B, Southaven, MS 38672 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120665 | Chelsea Lynne Mcgee Walley | Nurse Practitioner | 1880 Bakers Trl, Nesbit, MS 38651-6042 | 2020-06-29 |
| 1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
| 1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
| 1609321702 | Ashley Floyd | Nurse Practitioner | 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 | 2016-08-18 |
| 1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
| 1831485895 | Anita Sharyl Clinton Donegan | Nurse Practitioner | 1012 Big Lane Dr, Brookhaven, MS 39601-2331 | 2011-06-28 |
| 1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
| 1295936839 | Susan Turiano Crump | Nurse Practitioner | 111 Depot Dr # A, Madison, MS 39110-9395 | 2007-05-30 |
| 1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
| 1134262264 | Nina Tomlinson | Nurse Practitioner | 807 Monroe St, Vicksburg, MS 39183-2529 | 2007-02-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.