Individual
JAELYN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4129 W KENNEDY BLVD STE 2, TAMPA, FL 33609-2254
(813) 384-8872
Mailing address
4129 W KENNEDY BLVD STE 2, TAMPA, FL 33609-2254
(813) 384-8872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11031046
FL
363LG0600X
Gerontology Nurse Practitioner
11031046
FL
363LP2300X
Primary Care Nurse Practitioner
11031046
FL
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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