MEDICARE: DR. JESSICA BROWN M.D.

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
1	2084P0800X	Psychiatry Physician	22074	DC
2	2084P0800X	Psychiatry Physician	D0042898	MD

General Provider Information

NPI Number	:	1215061460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA BROWN M.D.

Provider Business Mailing Address
First Line	:	9622 ALTA VISTA TER
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-5701
Country	:	US
Telephone Number	:	301-581-0557
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 CONNECTICUT AVE NW
Second Line	:	STE 238
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2531
Country	:	US
Telephone Number	:	202-234-0474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	09/16/2016

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