Individual provider · NPI-1
Ashley Ann Brown, PA-C
Physician Assistant · Jackson, TN
NPI number1255688784
StatusActive
Last updated in NPPESAug 29, 2012
Details
- NPI
- 1255688784
- Entity type
- Individual (NPI-1)
- Name
- Ashley Ann Brown
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2012
- Last updated
- Aug 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2174 | TN | Yes |
Practice location
28 Medical Center DrJackson, TN 38301-3947
Phone 731-427-9971 · Fax 731-427-8624
Mailing address
Po Box 1446Dyersburg, TN 38025-1446
Phone 731-427-9971 · Fax 731-427-8624
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