Keila L Brown (NPI# 1518380120, PAC ID# 8628291663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518380120 |
| PAC ID by PECOS | 8628291663 |
| Professional Enrollment ID | I20140521000600 |
| Full Name | Keila L Brown |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Address |
3502 W Northside Dr Jackson MS 39213-4454 |
| Phone Number | 6013625321 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183533235 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 6017095130 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| 3502 W Northside Dr, Jackson, MS 39213-4454 | 6013625321 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Ericia Latrice Cannon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 145 Raymond Rd, Jackson, MS 39204-3802 |
| Latoya P Johnson | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
| Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
| Lashondra J Farmer-whitlock | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3472 |
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Willie J Lewis Sr. | Podiatry | Central Mississippi Civic Improvement Association, Inc | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Kevin Galloway | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Street Address |
3502 W NORTHSIDE DR |
| City | JACKSON |
| State | MS |
| Zip | 39213-4454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Iesha Renee Williams | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Nobel D Attipoe | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Tritresher Sizer | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Willye A Bell | Certified Nurse Midwife (cnm) | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Jan M Hausmann | Internal Medicine | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Sonia L Walker | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Barbara L Tapps | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Jasmine Martin Smith | Physical Therapy | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Lula Johnson | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B. Greene | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213 |
| Mary L Hilliard | Nurse Practitioner | 4612 Medgar Evers Blvd, Suite 10, Jackson, MS 39213-5205 | |
| Tamika M Broome | Nurse Practitioner | Mississippi State Department of Health | 350 Wwest Woodrow Wilson Ave, Suite 3516, Jackson, MS 39213-7681 |
| Willie J Lewis Sr. | Podiatry | Central Mississippi Civic Improvement Association, Inc | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Roslyn I Smith | Clinical Social Worker | Tamar Group LLC | 350 W Woodrow Wilson Ave, Suite 3572, Jackson, MS 39213-7681 |
| Rachel N Ford | Nurse Practitioner | Mississippi State Department of Health | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Niki Singletary | Physical Therapy | 350 W Woodrow Wilson Ave, Suite 370c, Jackson, MS 39213-7692 | |
| Babatunde Olutade | Nephrology | Diversified Renal Group LLC | 6501 Dogwood View Pkwy, Suite A, Jackson, MS 39213-7857 |
| Michael A Reddix | Internal Medicine | Reddix Family Clinic Pa | 6501 Dogwood View Pkwy, Suite B, Jackson, MS 39213-7857 |
| Hollye R Johnson | Nephrology | Diversified Renal Group LLC | 6501 Dogwood View Pkwy, Suite A, Jackson, MS 39213-7857 |
| Find all physicians in zip 39213 | |||
| City | JACKSON |
| Zip Code | 39213 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Keila L Brown.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.