MEDICARE: JACQUELINE SETFORD BROWN FNP

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	363L00000X	Nurse Practitioner	5007233	NC
2	363LF0000X	Family Nurse Practitioner	5007233	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1624H	OTHER	NC	BCBSNC
2	5007233	OTHER	NC	NP LICENSE
3	218537	OTHER	NC	RN LICENSE

General Provider Information

NPI Number	:	1316341738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE SETFORD BROWN FNP

Provider Business Mailing Address
First Line	:	3975 ROBINSON RD
Second Line	:
City	:	NEWTON
State	:	NC
Zip	:	28658-9715
Country	:	US
Telephone Number	:	828-466-0466
Fax Number	:	828-466-8897

Provider Business Practice Location Address
First Line	:	3975 ROBINSON RD
Second Line	:
City	:	NEWTON
State	:	NC
Zip	:	28658
Country	:	US
Telephone Number	:	828-466-0466
Fax Number	:	828-466-8897

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

Provider Enumeration Date	:	10/14/2014
Last Update Date	:	04/22/2026

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