Healthcare Provider Details

I. General information

NPI: 1952014896
Provider Name (Legal Business Name): JONELLE BROWNE-FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 GOTT ROAD
VANCE AFB OK
73705
US

IV. Provider business mailing address

PO BOX 80411
AUSTIN TX
78708-0411
US

V. Phone/Fax

Practice location:
  • Phone: 580-213-7842
  • Fax:
Mailing address:
  • Phone: 707-386-5622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number65261
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200002986
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: