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Individual

MS. JACQUELINE E BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
111 MORTEN AVE, PETERSBURG, VA 23805-2749
(804) 862-8004
(804) 862-6158
Mailing address
23719 COX ROAD, PETERSBURG, VA 23803-6878
(804) 861-9499

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001104556
VA

Other

Enumeration date
07/11/2006
Last updated
07/08/2007
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