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NPI Code Detail

MEDICARE: JASMINE BROWN

MEDICARE: JASMINE 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
1104100000XSocial Worker44SL07414200NJ

General Provider Information

NPI Number : 1861322489
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE BROWN
Provider Business Mailing Address
First Line : 2116 E EDGAR RD UNIT 1
Second Line :
City : LINDEN
State : NJ
Zip : 07036-1204
Country : US
Telephone Number : 732-527-9411
Fax Number :
Provider Business Practice Location Address
First Line : 2116 E EDGAR RD UNIT 1
Second Line :
City : LINDEN
State : NJ
Zip : 07036-1204
Country : US
Telephone Number : 732-527-9411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2026
Last Update Date : 05/23/2026

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