Individual
JAMIE M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1711 GOLD DR S, SUITE 170, FARGO, ND 58103-6416
(701) 232-7705
(701) 893-9046
Mailing address
1711 GOLD DR S, SUITE 170, FARGO, ND 58103
(701) 232-7705
(701) 893-9046
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0375
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968415100
—
MN
Enumeration date
11/02/2007
Last updated
09/07/2012
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