Individual provider · Type 1 NPI

Jonathan Wiley Brown, NP STUDENT

Student in an Organized Health Care Education/Training Program · Addison, IL

NPI number 1205708567 Active

Practice location

1221 N Swift Rd
Addison, IL 60101-6105

Call (229) 322-6594 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRN275421 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205708567

Jonathan Wiley Brown, NP STUDENT's National Provider Identifier is 1205708567, issued on Sep 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Addison, IL. The record was last updated on Sep 18, 2025.