Brown-Kishbaugh, Jaima

Brown-Kishbaugh, Jaima is an individual health care provider with primary practice located at 2005 Technology Pkwy Ste 440 , Mechanicsburg PA 17050-9413. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brown-Kishbaugh, Jaima can be contacted via phone (717) 791-2540.

Contact Information

Primary practice address
2005 Technology Pkwy Ste 440 Mechanicsburg PA 17050-9413
Phone: (717) 791-2540
Fax: (717) 791-2549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP014168 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN587897 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP014168 Pennsylvania

Profile Details

NPI number 1861893034
LBN Legal business name Brown-Kishbaugh, Jaima
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2014
Last updated Jan 23rd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861893034 NPPES
Pennsylvania MEDICAID 102963932

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