NPI 1366161846

Vivian Maberry Brown

Practitioner Driver Jackson, MS

Practice location

Address: 627 Warren Harding Dr, Jackson, MS 39213-2425
Phone: (769) 231-5333

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 801713006 (MS)

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Registry record

NPI: 1366161846
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2022
Record last updated: 26 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.