Individual
JEAN R BROWN
Active
Individual
JEAN R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
300222
NY
363LF0000X
Family Nurse Practitioner
331304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000692111
GHI HMO
NY
01
—
000494228001
BLUE SHIELD
NY
05
—
00347562
—
NY
01
—
040426006783
FIDELIS
NY
01
—
11464152
CAQH
—
01
—
318476
MVP
NY
01
—
500015186
RR MEDICARE
NY
01
—
7599230
PPOGHI
NY
Enumeration date
01/25/2006
Last updated
03/05/2009
Update your record
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