Individual
MS. MARTHA ELIZABETH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 PRUDENTIAL DR, UFJP PEDIATRIC CRITICAL CARE MEDICINE, JACKSONVILLE, FL 32207-8202
(904) 202-8758
(904) 306-9884
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2551402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188838750B
—
GA
Enumeration date
03/14/2006
Last updated
02/18/2012
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