Individual provider Active NPI

Jessica D. Brown, RN

  • Registered Nurse
  • Corydon, IN
National Provider Identifier
1063648103
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28077680A Issued in IN
Practice address
1070 Weber BLDG. Hwy 62 NW
Harrison Co. Maternal & Child
Corydon, IN 47112-1924
Phone
(812) 738-1600
Fax
(812) 738-6473
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28077680A IN Primary

Addresses

Primary practice location

1070 Weber BLDG. Hwy 62 NW
Harrison Co. Maternal & Child
Corydon, IN 47112-1924

Mailing address

1070 Weber BLDG. Hwy 62 NW
Harrison Co. Maternal & Child
Corydon, IN 47112-1924
Phone (812) 738-1600

Other identifiers 1

IdentifierTypeStateIssuer
200091610MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28077680AINMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1063648103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 WEBER BLDG. HWY 62 NW",
            "address_2": "HARRISON CO. MATERNAL & CHILD",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121924",
            "telephone_number": "812-738-1600",
            "fax_number": "812-738-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WEBER BLDG. HWY 62 NW",
            "address_2": "HARRISON CO. MATERNAL & CHILD",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121924",
            "telephone_number": "812-738-1600",
            "fax_number": "812-738-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28077680A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200091610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.