Individual
JESSICA MICHELLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 POINTE CIR STE 3102, GREENVILLE, SC 29615-6307
(803) 403-0294
Mailing address
68 POINTE CIR STE 3102, GREENVILLE, SC 29615-6307
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
211333
SC
363LF0000X
Family Nurse Practitioner
25364
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25364
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
03/25/2014
Last updated
06/27/2025
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