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Individual

JENNIFER K BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1419 S 6TH ST, MACCLENNY, FL 32063-4624
(904) 653-1822
(904) 259-1225
Mailing address
PO BOX 606, GLEN ST MARY, FL 32040-0606
(904) 654-3181
(904) 653-1814

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2738842
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001293100
FL
Enumeration date
09/28/2009
Last updated
04/27/2010
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