Individual provider · Type 1 NPI

Jackqulyn Brown

Family Nurse Practitioner · Southfield, MI

NPI number 1194591719 Active

Practice location

20755 Greenfield Rd Ste 100
Southfield, MI 48075-5400

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704342245 (MI)
Family Nurse Practitioner Primary 363LF0000X4704342245 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1194591719

Jackqulyn Brown's National Provider Identifier is 1194591719, issued on Nov 27, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Nov 27, 2023.