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Individual

MRS. JENNIFER NICOLE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7050
(864) 560-0800
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
99591
SC
363LF0000X
Family Nurse Practitioner
Primary
21958
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP5552
SC
01
SCE0993365
MEDICARE PIN
SC
01
SCE0994746
MEDICARE PIN
SC
Enumeration date
06/18/2018
Last updated
12/03/2020
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