Individual
JENNIFER LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-3585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101281809
VA
208600000X
Surgery Physician
Primary
D96629
MD
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/20/2018
Last updated
07/10/2024
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