Individual
JESSE LEE MASON-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5870
Mailing address
3620 MCGREGOR LN, TOLEDO, OH 43623-1831
(419) 215-9839
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704366467NSA210JX
MI
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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