Healthcare Provider Details

I. General information

NPI: 1427458660
Provider Name (Legal Business Name): JENNIE BROWN DNP, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 NE 95TH ST
SEATTLE WA
98115-2426
US

IV. Provider business mailing address

12345 LAKE CITY WAY NE STE 2132
SEATTLE WA
98125-5401
US

V. Phone/Fax

Practice location:
  • Phone: 206-525-5050
  • Fax: 206-525-9795
Mailing address:
  • Phone: 206-210-3193
  • Fax: 206-649-0963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60495202
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: