Healthcare Provider Details

I. General information

NPI: 1104804723
Provider Name (Legal Business Name): JO ANN BROWN NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JO ANN BROWN APRN. CNP 05359

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6809 MAIN ST
CINCINNATI OH
45244-3470
US

IV. Provider business mailing address

6809 MAIN ST
CINCINNATI OH
45244-3470
US

V. Phone/Fax

Practice location:
  • Phone: 440-230-6168
  • Fax:
Mailing address:
  • Phone: 440-230-6168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number270104
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP-05359
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.05359
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: