Individual
JEFFREY S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-062598
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051511082
—
AL
05
—
105345
—
AL
01
—
430075313
RR MEDICARE
AL
01
—
515-94265
BC BS OF AL
AL
01
—
51511082
BCBS OF AL
AL
Enumeration date
09/15/2006
Last updated
10/15/2009
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