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General NPI Number Information
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NPI Number | 1306487566
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Entity Type | Individual
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Provider Name | JODY LYNN BROWN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 208 N BIG HORN AVE
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City | MOORCROFT
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State | WY
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Zip | 82721-6201
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Country | US
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Telephone | 307-756-3414
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Fax | 888-570-2239
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Provider Business Mailing Address
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Address Line | 332 BATTLEMENT CREEK TRL
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City | PARACHUTE
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State | CO
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Zip | 81635-8903
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Country | US
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Telephone | 307-756-2016
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0995073-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 49257
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License Number State | WY
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