Jared Charles Brown, RN
Individual provider Active NPI Registered Nurse · Ooltewah, TN
NPI 1962093633 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1962093633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 232724 (TN)
- Practice address
- 9461 Lazy Circles Dr
Ooltewah, TN 37363-9320 - Phone
- (423) 314-0227
- NPI assigned
- Jan 26, 2021
- Sex
- Male
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232724 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 232724 | TN | Yes |
Addresses
Primary practice location
9461 Lazy Circles Dr
Ooltewah, TN 37363-9320
Mailing address
9461 Lazy Circles Dr
Ooltewah, TN 37363-9320
Phone (423) 314-0227
Other providers in Ooltewah, TN
- Breanna Jewell Britton
- Jayonna Ka'Asia Brooks
- Tiffany P. Brooks
- April Brown
- Curtis Brown
- Essie Woods Bruell
- Caren E Brumfield
- Hannah Marie Bujak
- Oliver Marko Bujak
- Jessica Burnstein
All providers in Ooltewah, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. 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.