Jacqueline Brown, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176939 Issued in VA

Practice address

2435 Marion Ave
Columbia, SC 29207-6002

Phone

(803) 873-9879

NPI assigned

Jan 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1043784986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 MARION AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076002",
            "telephone_number": "803-873-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 MARION AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076002",
            "telephone_number": "803-873-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6439 Garners Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292091638",
            "country_code": "US",
            "telephone_number": "803-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Sharnise Brown
• Fredricka Brown
• Freeman Brown, FNP-BC
• Hannah Brown
• Heather A Brown, MD
• James Harold Brown, LPC, LPCS
• Janie Lee Brown
• Jessica Brown
• Jessica Ashlee Brown, LISW-CP
• Julia S Brown, APRN

• All providers in Columbia, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.