Individual
MS. LAINEY JEAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4700 MEMORIAL DR STE 210, BELLEVILLE, IL 62226-5373
(618) 767-7700
Mailing address
4700 MEMORIAL DR STE 210, BELLEVILLE, IL 62226-5373
(618) 767-7700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027811
IL
363LF0000X
Family Nurse Practitioner
209027811
IL
Other
Enumeration date
03/27/2022
Last updated
10/06/2023
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