Jean Brown

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fargo, ND

NPI 1235083809 · NPPES record last updated Feb 23, 2026

Key facts

NPI
1235083809
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2107 26 1/2 CT S
Fargo, ND 58103-6643
Phone
(701) 535-0057
NPI assigned
Feb 23, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2107 26 1/2 CT S
Fargo, ND 58103-6643

Mailing address

2107 26 1/2 CT S
Fargo, ND 58103-6643

Other providers in Fargo, ND

All providers in Fargo, ND · Student in an Organized Health Care Education/Training Program in North Dakota

Sources for this page

Verify at the official NPI Registry.