# JASON D BROWN

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

## Provider details

- **NPI number:** 1942269287
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10000787A | IN | Yes |
| 363A00000X | Physician Assistant | 99017012A | IN | — |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 02/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000386766 | BCBS | IN |
| 01 | — | 066899 | SIHO | IN |
| 01 | — | Q0244502 | RRMC | IN |