Provider Demographics
NPI:1144090218
Name:BROWN, CHELSEA JON
Entity type:Individual
Prefix:MISS
First Name:CHELSEA
Middle Name:JON
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 KINGS RD
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-1139
Mailing Address - Country:US
Mailing Address - Phone:572-910-1153
Mailing Address - Fax:
Practice Address - Street 1:2513 KINGS RD
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-1139
Practice Address - Country:US
Practice Address - Phone:572-910-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist