Individual
JENNIFER BRAXTON-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, STE 258, EDGEWOOD, KY 41017-3403
(859) 301-2211
(859) 301-2511
Mailing address
340 THOMAS MORE PKWY, CHAPEL PLACE B STE 220, CRESTVIEW HILLS, KY 41017-5100
(859) 301-2211
(859) 301-2511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1117832
KY
163W00000X
Registered Nurse
366887
OH
363LF0000X
Family Nurse Practitioner
Primary
3010601
KY
Other
Enumeration date
04/14/2014
Last updated
11/25/2016
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