Healthcare Provider Details

I. General information

NPI: 1043161987
Provider Name (Legal Business Name): RENEWED MINDS NURSING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E COLORADO BLVD FL 6
PASADENA CA
91105-1938
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD STE 314734
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 323-417-8486
  • Fax: 310-564-1176
Mailing address:
  • Phone: 323-417-8486
  • Fax: 310-564-1176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER CARINA BROWN
Title or Position: CEO/ OWNER
Credential: PMHNP
Phone: 323-417-8486