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Contact Information

CHANDRA BROWN
4780 I 55 N STE 105
JACKSON, MS39211-5542
 Phone: 601-956-4816
 Fax: 601-956-4817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for CHANDRA BROWN · (Female)

NPI # 1205591237
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2021
Last updated 11/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS Medicaid 01670076
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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