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NPI Code Detail

MEDICARE: DR. JANE MARIE BROWN DNP, FNP-C

MEDICARE: DR. JANE MARIE BROWN DNP, FNP-C
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
1363L00000XNurse PractitionerAPRN11040326FL
2363LF0000XFamily Nurse PractitionerAPRN11040326FL
3363LF0000XFamily Nurse Practitioner209021768IL

General Provider Information

NPI Number : 1174140321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANE MARIE BROWN DNP, FNP-C
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 4844 DEER LAKE DR W STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-4506
Country : US
Telephone Number : 904-738-8690
Fax Number : 904-390-7426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2020
Last Update Date : 11/25/2025

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