Healthcare Provider Details

I. General information

NPI: 1174458244
Provider Name (Legal Business Name): MELISSA NICOLE BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5637 ROCKHILL RD
KANSAS CITY MO
64110-2741
US

IV. Provider business mailing address

507 SYCAMORE ST
HARRISONVILLE MO
64701-1442
US

V. Phone/Fax

Practice location:
  • Phone: 816-522-1342
  • Fax:
Mailing address:
  • Phone: 678-949-7549
  • Fax: 678-949-7549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: