MEDICARE: JENEA R BROWN FNP

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
1	363LF0000X	Family Nurse Practitioner	0001325075	OH

General Provider Information

NPI Number	:	1215714282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENEA R BROWN FNP

Provider Business Mailing Address
First Line	:	26900 CEDAR RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-1191
Country	:	US
Telephone Number	:	216-839-2990
Fax Number	:	216-839-2975

Provider Business Practice Location Address
First Line	:	26900 CEDAR RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-1191
Country	:	US
Telephone Number	:	216-839-2990
Fax Number	:	216-839-2975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2023
Last Update Date	:	05/21/2026

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