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Contact Information

JENNIFER K BROWN, PA
721 RIVER DRIVE
SUITE B
FORT BRAGG, CA95437
 Phone: 707-964-6910
 Fax: 707-964-7430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER K BROWN · (Female)

NPI Number 1689603128
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/30/2006
Last updated 12/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 21724
  • HI License # AMD-278
  • NM License # PA20140017
Hospital affiliation(s)
  • MENDOCINO COAST DISTRICT HOSPITAL - (Critical Access)
    700 RIVER DR
    FORT BRAGG, CA 95437
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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