Jenny Lynette Brown
Nurse Practitioner - Primary Care
6912 Candlewick Way
Florissant
, Missouri 63033-5113
Jenny Lynette Brown
Nurse Practitioner - Primary Care
6912 Candlewick Way
Florissant
, Missouri 63033-5113
(314) 696-9723
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jenny Lynette Brown
- 4414 W Center Dr
- Alton, IL
- Zip : 62002-5932
- Phone : (314) 696-9723
Second Address
- Jenny Lynette Brown
- 6912 Candlewick Way
- Florissant, MO
- Zip : 63033-5113
- Phone : (314) 696-9723
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 2018043648 | MO |
National Provider Identifier
| NPI | 1063983088 |
|---|---|
| Provider Name | Jenny Lynette Brown |
| First Address | Alton, IL 62002-5932 |
| Second Address | Florissant, MO 63033-5113 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2018 |
| Last Update Date | 08/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.