Individual
MS. JACQUELINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2435 MARION AVE, COLUMBIA, SC 29207-6002
(803) 873-9879
Mailing address
2435 MARION AVE, COLUMBIA, SC 29207-6002
(803) 873-9879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176939
VA
Other
Enumeration date
01/14/2019
Last updated
06/11/2024
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