Individual provider Active NPI

Jennifer Nicole Brown, RN

  • School Registered Nurse
  • North Charleston, SC
National Provider Identifier
1477186906
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
73708 Issued in SC
Practice address
1999 Singley St
North Charleston, SC 29405-5014
Phone
(843) 745-2000
Fax
(843) 745-7191
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 73708 SC Primary

Addresses

Primary practice location

1999 Singley St
North Charleston, SC 29405-5014

Mailing address

1999 Singley St
North Charleston, SC 29405-5014
Phone (843) 745-2000

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
73708SCMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. CurrentSince May 8, 2022 Accepting new patients
Fetter Health Care Network, Inc PastSince Feb 16, 2020 Accepting new patients

Locations

1999 Singley Ln
North Charleston, SC 29405
Phone (843) 745-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1477186906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SINGLEY ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055014",
            "telephone_number": "843-745-2000",
            "fax_number": "843-745-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SINGLEY ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055014",
            "telephone_number": "843-745-2000",
            "fax_number": "843-745-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "73708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.