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NPI Code Detail

MEDICARE: MS. JESSICA A BROWN

MEDICARE: MS. JESSICA A BROWN
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
1247200000XOther Technician6853087276MI

General Provider Information

NPI Number : 1285418327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA A BROWN
Provider Business Mailing Address
First Line : 721 N VAN DYKE RD
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9188
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 721 N VAN DYKE RD
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9188
Country : US
Telephone Number : 989-269-9229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 08/21/2023

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Directions to “ MS. JESSICA A BROWN ” Practice Location

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