Jennifer Valerie Brown, R.N.

Individual provider Active NPI Registered Nurse · Arcata, CA

NPI 1588029482 · NPPES record last updated Dec 18, 2015

Key facts

NPI
1588029482
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
391643 (CA)
Practice address
1 Harpst St
Arcata, CA 95521-8222
Phone
(707) 826-3146
Fax
(707) 826-5042
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
391643CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt State University Past Accepting new patients
California State Polytechnic University, Humboldt Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 391643 CA Yes

Addresses

Primary practice location

1 Harpst St
Arcata, CA 95521-8222

Mailing address

1 Harpst St
Arcata, CA 95521-8222
Phone (707) 826-3146

Other providers in Arcata, CA

All providers in Arcata, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.