Healthcare Provider Details

I. General information

NPI: 1538080247
Provider Name (Legal Business Name): SARAH JEAN BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 1ST AVE. NE
BEACH ND
58621-0873
US

IV. Provider business mailing address

PO BOX 873
BEACH ND
58621-0873
US

V. Phone/Fax

Practice location:
  • Phone: 541-844-9498
  • Fax:
Mailing address:
  • Phone: 541-844-9498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: