Healthcare Provider Details

I. General information

NPI: 1821953944
Provider Name (Legal Business Name): ELIZABETH L BROWN LMT, LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1084 FLYNT DR
FLOWOOD MS
39232-9736
US

IV. Provider business mailing address

3 WATERSVIEW CV
JACKSON MS
39212-5629
US

V. Phone/Fax

Practice location:
  • Phone: 601-868-0308
  • Fax:
Mailing address:
  • Phone: 601-921-9506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: