Brown, Jacqueline Leigh
Brown, Jacqueline Leigh is an individual health care provider with primary practice located at 5082 N Washington St , Forrest City AR 72335-7675. 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 Leigh can be contacted via phone (870) 261-9149.Contact Information
Primary practice address
5082 N Washington St
Forrest City AR 72335-7675
Phone: (870) 261-9149
Fax: (870) 261-9988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 124439 | Arkansas |
Profile Details
| NPI number | 1972130078 |
|---|---|
| LBN Legal business name | Brown, Jacqueline Leigh |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2020 |
| Last updated | Feb 10th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972130078 | NPPES |
| Arkansas | MEDICAID | 253702758 |
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