Johnny Brown, RN is a
Registered Nurse based in Rolling Fork, Mississippi. Johnny Brown is licensed to practice in Mississippi (license number P121479) and his current practice location is
317 W Race St, Rolling Fork, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 873-6228.
NPI number for Johnny Brown is 1063690824 and his current mailing address is 317 W Race St, Rolling Fork, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063690824.
Provider's Profile
| Full Name | Johnny Brown |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 317 W Race St, Rolling Fork, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063690824
- Provider Enumeration Date: 02/04/2008
- Last Update Date: 02/12/2008
Medical Identifiers
Medical identifiers for Johnny Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063690824 | NPI | - | NPPES |
| 00018205 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | P121479 (Mississippi) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Johnny Brown, RN 317 W Race St, Rolling Fork, MS 39159-2623 Ph: (662) 873-6228 | Johnny Brown, RN 317 W Race St, Rolling Fork, MS 39159-2623 Ph: (662) 873-6228 |
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