Individual
JACQUELINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 494-1700
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28170225A
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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