Individual
MRS. MARY JANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1315 JESSE JEWELL PKWY NE, SUITE 300, GAINESVILLE, GA 30501-3822
(770) 219-6520
Mailing address
1315 JESSE JEWELL PKWY NE, SUITE 300, GAINESVILLE, GA 30501-3822
(770) 219-6520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN074964
GA
363LF0000X
Family Nurse Practitioner
ARNP9316494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y06AR
BCBS OF FLORIDA
FL
Enumeration date
03/03/2010
Last updated
08/16/2016
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