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NPI Code Detail

MEDICARE: JANIETA ROEL BROWN FNP

MEDICARE:   JANIETA ROEL 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
1363LF0000XFamily Nurse PractitionerGAA-NP005151GA
2363LF0000XFamily Nurse Practitioner31309SC
3363LF0000XFamily Nurse Practitioner11038522FL
4363LF0000XFamily Nurse Practitioner0024192796VA
5363LF0000XFamily Nurse Practitioner17311CT
6363LF0000XFamily Nurse PractitionerSP035890PA
7363LF0000XFamily Nurse Practitioner277003081IL
8363LF0000XFamily Nurse Practitioner5017966NC
9363LF0000XFamily Nurse Practitioner200292ND
10363L00000XNurse Practitioner5017966NC

General Provider Information

NPI Number : 1659928398
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIETA ROEL BROWN FNP
Provider Business Mailing Address
First Line : 2340 SPRING FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27615-7528
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 2340 SPRING FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27615-7528
Country : US
Telephone Number : 401-450-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 05/27/2026

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