Jullisa Noelle Brown-Jackson

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

868 George W Engram Blvd
Daytona Beach, FL 32114-1859

Phone

(386) 322-6102

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1871291997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WINNERS CIRCLE DR APT 104",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321147430",
            "telephone_number": "386-265-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 GEORGE W ENGRAM BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141859",
            "telephone_number": "386-322-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-JACKSON",
        "first_name": "JULLISA",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks Home Care Advantage, Inc
• Jeannetta Ann Brooks, APN
• Broome Vision Inc
• Kevin Andrew Broome, O.D.
• Kristiauna Lynn Brough, APRN
• Amy Brown, RD, LDN
• Angela S Brown, ARNP
• Anthony Brown
• Catherine S Brown, MSPT
• Charles Robert Brown, D.M.D.

• All providers in Daytona Beach, FL
• Doula in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.