Individual
MS. JESSICA POWELL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1225 MONTAGUE AVENUE EXT, GREENWOOD, SC 29649-9027
(864) 519-0054
(864) 447-5707
Mailing address
1225 MONTAGUE AVENUE EXT, GREENWOOD, SC 29649-9027
(864) 519-0054
(864) 447-5707
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
24785
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104072102
NATIONAL CERTIFICATION CORPORATION ID
—
01
—
1548845944
NPI
—
01
—
24785
SC LLR BOARD OF NURSING
SC
Enumeration date
03/17/2021
Last updated
04/28/2023
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