Provider Demographics
NPI:1477437028
Name:BROWN, CHINIQUE S (CCIII AND DOULA)
Entity type:Individual
Prefix:
First Name:CHINIQUE
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:CCIII AND DOULA
Other - Prefix:
Other - First Name:CHINIQUE
Other - Middle Name:BROWN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCD
Mailing Address - Street 1:8710 EVANGELINE DR APT 427
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-7122
Mailing Address - Country:US
Mailing Address - Phone:843-364-9493
Mailing Address - Fax:
Practice Address - Street 1:8710 EVANGELINE DR APT 427
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-7122
Practice Address - Country:US
Practice Address - Phone:843-364-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty