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General NPI Number Information
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NPI Number | 1770923484
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Entity Type | Individual
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Provider Name | JENNIFER FAY BROWN DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 1721 ADMIRAL TAUSSIG BLVD
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City | NORFOLK
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State | VA
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Zip | 23511-2802
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Country | US
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Telephone | 757-953-9000
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Fax | 757-953-8982
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Provider Business Mailing Address
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Address Line | 1008 ELBERT
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-9314
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Country | US
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Telephone | 252-340-5797
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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 | 5006218
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024174188
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License Number State | VA
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