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NPI Code Detail

MEDICARE: VANESSA BROWN APRN

MEDICARE: VANESSA BROWN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner11033576FL

General Provider Information

NPI Number : 1063256337
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA BROWN APRN
Provider Business Mailing Address
First Line : 4266 SUNBEAM RD FL 2425
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2425
Country : US
Telephone Number : 904-268-7700
Fax Number : 904-407-6001
Provider Business Practice Location Address
First Line : 4266 SUNBEAM RD FL 2425
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2425
Country : US
Telephone Number : 904-268-7700
Fax Number : 904-407-6001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2024
Last Update Date : 01/22/2026

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