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Individual

JENNIFER L BROWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP BC

Contact information

Practice address
5255 E STOP 11 RD STE 300, INDIANAPOLIS, IN 46237-6341
(317) 528-4723
(317) 528-4699
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003319A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201062130
IN
01
471400579
MEDICARE
IN
Enumeration date
06/15/2010
Last updated
04/14/2023
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