=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821915893
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMY BROWN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2026
-----------------------------------------------------
Last Update Date | 07/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 90 BASS PRO DR
-----------------------------------------------------
City | PEARL
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39208-9242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-813-0956
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 534 VISTA POINTE DR
-----------------------------------------------------
City | PEARL
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39208-1003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | HA-684
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------