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General NPI Number Information
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NPI Number | 1225995707
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Entity Type | Individual
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Provider Name | JENNETTER BROWN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 34 ROSA ST
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City | WESTWEGO
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State | LA
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Zip | 70094-5832
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Country | US
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Telephone | 504-417-2079
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 MAGIC ST
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City | NEW ORLEANS
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State | LA
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Zip | 70112-3678
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Country | US
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Telephone | 504-417-2079
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 224332
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 224332
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License Number State | LA
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