Mrs Cecile Brown Davis, NP | |
121 Meadow Oaks Ln, Jackson, MS 39209-2001 | |
(601) 405-9470 | |
Not Available |
Full Name | Mrs Cecile Brown Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 121 Meadow Oaks Ln, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801567003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 904254 (Mississippi) | Primary |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cecile Brown Davis, NP 121 Meadow Oaks Ln, Jackson, MS 39209-2001 Ph: (601) 405-9470 | Mrs Cecile Brown Davis, NP 121 Meadow Oaks Ln, Jackson, MS 39209-2001 Ph: (601) 405-9470 |
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