Jacqueline Brown, CRNP
Individual provider Active NPI Primary Care Nurse Practitioner · Drexel Hill, PA
NPI 1922425362 · NPPES record last updated Mar 24, 2014
Key facts
- NPI
- 1922425362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- SP013553 (PA)
- Practice address
- 529 Penn Ave
Drexel Hill, PA 19026-1414 - Phone
- (215) 870-4632
- NPI assigned
- Mar 24, 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP013553 | PA | Yes |
Addresses
Primary practice location
529 Penn Ave
Drexel Hill, PA 19026-1414
Mailing address
529 Penn Ave
Drexel Hill, PA 19026-1414
Phone (215) 870-4632
Other providers in Drexel Hill, PA
- Bridge to Better Home Health Care
- Kira T Brock-Cooper
- Maggie Brodnik
- Colby Brooks
- Nicola Brooks
- Kevin Henry Browngoehl
- Esther Bubb
- Nicholas Anthony Busillo Sr.
- C&S Support Services
- Emily Dongxue Cai
All providers in Drexel Hill, PA · Primary Care Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 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.