Wanda Brown, WHNP
Nurse Practitioner, Women's Health in Olive Branch, MS. Individual provider (NPI-1).
NPI number1083071237
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1083071237
- Entity type
- Individual (NPI-1)
- Name
- Wanda Brown
- Credential
- WHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2016
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 901414 | MS | Yes |
| 363L00000X | Nurse Practitioner | 901414 | MS |
Practice location
4240 Bethel Rd Ste 101Olive Branch, MS 38654-8737
Phone 662-932-9544 · Fax 662-932-9554
Mailing address
1211 Union Ave Ste 330Memphis, TN 38104-6655
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.