Jessica Annelise Brown, PA-C
Individual provider Active NPI Physician Assistant · Springdale, AR
NPI 1508348798 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1508348798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3057 Springdale Ave
Springdale, AR 72762-4346 - Phone
- (479) 751-2522
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- jessica.brown@arcare.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3057 Springdale Ave
Springdale, AR 72762-4346
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other providers in Springdale, AR
- Elizabeth Faye Brown
- Ember Estelle Lanuti Brown
- Heather Brown
- Jason Daniel Brown
- Jenna Ashton Brown
- Jodie Brown
- Kevin Lee Brown
- Keyvashia K Brown
- Lisa Marie Brown
- Mia Kaye Brown
All providers in Springdale, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.