Individual
JACQUELINE A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2168
(410) 997-1700
(410) 740-8315
Mailing address
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2168
(410) 997-1700
(410) 740-8315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0041853
MD
2080A0000X
Pediatric Adolescent Medicine Physician
D0041853
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788921600
—
MD
Enumeration date
09/13/2006
Last updated
03/04/2026
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