Jacqueline Brown, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP013553 Issued in PA

Practice address

529 Penn Ave
Drexel Hill, PA 19026-1414

Phone

(215) 870-4632

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1922425362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 PENN AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261414",
            "telephone_number": "215-870-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 PENN AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261414",
            "telephone_number": "215-870-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP013553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge to Better Home Health Care
• Kira T Brock-Cooper
• Maggie Brodnik, CPNP
• Colby Brooks
• Nicola Brooks, LPC
• Kevin Henry Browngoehl, M.D.
• Esther Bubb, BCBA, LBS, EDD
• Nicholas Anthony Busillo Sr., MD
• C&S Support Services
• Emily Dongxue Cai

• Primary Care Nurse Practitioner in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.