Healthcare Provider Details

I. General information

NPI: 1578013090
Provider Name (Legal Business Name): JESSICA ANNE BROWNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA ANNE NEEL

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 N THORNYDALE RD
MARANA AZ
85658-4755
US

IV. Provider business mailing address

12369 N WING SHADOW LANE
MARANA AZ
85658
US

V. Phone/Fax

Practice location:
  • Phone: 520-572-6041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS022683
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: