Doctor Name: | MRS. JENNIFER BROWN |
NPI Number: | 1013324920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGNP |
License Number: | 5006978 |
Business Practice Address: | 3824 N Elm St Greensboro, NC - 274552596 |
Business Phone Number: | 3364822300 |
Business Fax Number: | |
Mailing Address: | 3824 N Elm St, GREENSBORO |
State: | NC |
Postal Code: | 274552596 |
Phone Number: | 3364822300 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2014 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5006978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |