Individual
JENNIFER NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1005 HARBORSIDE DR 6TH FL, GALVESTON, TX 77555-2608
(409) 772-0644
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265
(409) 747-6240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08944
TX
363AM0700X
Medical Physician Assistant
PA08944
TX
Other
Enumeration date
03/18/2014
Last updated
02/07/2023
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