Jamie Brown

Individual provider Active NPI Rehabilitation Practitioner · Fernley, NV

NPI 1811298920 · NPPES record last updated Nov 4, 2010

Key facts

NPI
1811298920
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
706 Blue Opal CT
Fernley, NV 89408-9493
Phone
(775) 575-5170
NPI assigned
Nov 4, 2010
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

706 Blue Opal CT
Fernley, NV 89408-9493

Mailing address

706 Blue Opal CT
Fernley, NV 89408-9493
Phone (775) 575-5170

Other providers in Fernley, NV

All providers in Fernley, NV · Rehabilitation Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.