Healthcare Provider Details

I. General information

NPI: 1972056406
Provider Name (Legal Business Name): NATALIE NICOLE JONES-BROWN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 E 9 MILE RD
FERNDALE MI
48220-2065
US

IV. Provider business mailing address

1603 E 9 MILE RD
FERNDALE MI
48220-2065
US

V. Phone/Fax

Practice location:
  • Phone: 248-514-4955
  • Fax: 248-282-4631
Mailing address:
  • Phone: 248-514-4955
  • Fax: 248-282-4631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number4704238339
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: