# MS. JENNIFER BROWN TICHICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124179130
- **Gender:** F
- **Credential:** ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 304640 | NY | — |
| 363LP2300X | Primary Care Nurse Practitioner | 046565-23 | NH | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 01/11/2024
