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NPI Code Detail

MEDICARE: JAN ELLEN BROWN IBCLC, RLC

MEDICARE: JAN ELLEN BROWN IBCLC, RLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)191-10659NC
2163WL0100XLactation Consultant (Registered Nurse)L-307822NC

General Provider Information

NPI Number : 1093988867
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN ELLEN BROWN IBCLC, RLC
Provider Business Mailing Address
First Line : 9929 LAUREL LAKE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2334
Country : US
Telephone Number : 704-605-2900
Fax Number :
Provider Business Practice Location Address
First Line : 9929 LAUREL LAKE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2334
Country : US
Telephone Number : 704-605-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2008
Last Update Date : 11/14/2022

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Directions to “ JAN ELLEN BROWN IBCLC, RLC” Practice Location

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