Individual
MISS JENNIFER LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 BECKLEY CROSSING SHPG CTR, BECKLEY, WV 25801-7110
(304) 252-6639
(304) 252-6681
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-6819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20718
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010281491
—
VA
05
—
1812285000
—
WV
Enumeration date
10/04/2005
Last updated
09/24/2020
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