Jenna Nateal Brown-Kirk, RN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

255031 Issued in AZ

Practice address

18 E Beech St
Cottonwood, AZ 86326-4134

Phone

(928) 634-0391

NPI assigned

Feb 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1487247870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 HACIENDA DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102314",
            "telephone_number": "707-339-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E BEECH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264134",
            "telephone_number": "928-634-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Wilshire Blvd Apt 420",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900173040",
            "country_code": "US",
            "telephone_number": "707-339-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-KIRK",
        "first_name": "JENNA",
        "middle_name": "NATEAL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "255031",
            "primary": true
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CA",
            "license": "95057811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Jo Brady, DPT
• David Brian Brady
• Barbara J Braun, MD
• Serena Lynn Brawley, PMHNP-BC
• Denise Brennan, LCSW
• Martha Brown, RD, CDE
• Bryan J. Shanahan DDS, PC
• Donna Jean Buchanan, PMHNP, FNP
• Shaunda Aylene Bueno, FNP-C
• Pamela G. Burd, M.S., CCC-SLP

• Women's Health Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.