Jacqueline Brown, RN
Individual provider Active NPI Registered Nurse · Marinette, WI
NPI 1902201585 · NPPES record last updated Oct 25, 2014
Key facts
- NPI
- 1902201585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 176877-030 (WI)
- Practice address
- 1203 Jackson St
Marinette, WI 54143-2014 - Phone
- (715) 587-2423
- NPI assigned
- Oct 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 176877-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 176877-030 | WI | Yes |
Addresses
Primary practice location
1203 Jackson St
Marinette, WI 54143-2014
Mailing address
1203 Jackson St
Marinette, WI 54143-2014
Phone (715) 587-2423
Other providers in Marinette, WI
- Brian E. Bozelka, MD SC
- John P Briody
- Leigh Brooks
- Taylor Brostowitz
- Christy Ann Brown
- Morgan Brown
- Bruce J Barrette DDS SC
- Jacob Brugger
- Kirsten J Buck
- Amber M Buelteman
All providers in Marinette, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2014. 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.