Individual
MRS. JENNIFER BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3450 N ROCK RD STE 503, WICHITA, KS 67226-1355
(316) 312-0002
(316) 854-5644
Mailing address
117 W ACADEMY AVE, MAIZE, KS 67101-7016
(316) 648-2828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76475-012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201107280B
—
KS
Enumeration date
01/08/2015
Last updated
03/17/2018
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