Healthcare Provider Details

I. General information

NPI: 1912429846
Provider Name (Legal Business Name): KATHERINE BROWNE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE JEFFERSON-BROWNE RN

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2832 LINDEN BLVD
BROOKLYN NY
11208
US

IV. Provider business mailing address

2832 LINDEN BLVD
BROOKLYN NY
11208-5132
US

V. Phone/Fax

Practice location:
  • Phone: 646-680-2442
  • Fax:
Mailing address:
  • Phone: 646-680-2442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number327268
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number327268
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: