Individual
JACKLYNN V. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
200 SMITH DR, CORINTH, NY 12822-1341
(518) 654-7680
(518) 654-7695
Mailing address
35 REARDON RD, GLENS FALLS, NY 12804-8608
(518) 793-3703
(518) 654-7695
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004699
NY
363AS0400X
Surgical Physician Assistant
004699
NY
Other
Enumeration date
08/10/2005
Last updated
12/26/2012
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