Brown, Jacqueline
Brown, Jacqueline is an individual health care provider with primary practice located at 601 Stadium Mall Dr , West Lafayette IN 47907-2052. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brown, Jacqueline can be contacted via phone (765) 494-1700.Contact Information
Primary practice address
601 Stadium Mall Dr
West Lafayette IN 47907-2052
Phone: (765) 494-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28170225A | Indiana |
Profile Details
| NPI number | 1831625672 |
|---|---|
| LBN Legal business name | Brown, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2017 |
| Last updated | May 11th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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