Healthcare Provider Details

I. General information

NPI: 1649826157
Provider Name (Legal Business Name): EMILY JARRETT BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY OAKES JARRETT RN

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 15TH ST
AUGUSTA GA
30912-4645
US

IV. Provider business mailing address

1120 15TH ST # OR6000
AUGUSTA GA
30912-0004
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-6238
  • Fax: 706-721-1459
Mailing address:
  • Phone: 706-721-3813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11002873
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN232764
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: