Individual provider · Type 1 NPI

Jacquelyn C. Brown

Surgical Physician Assistant · Albuquerque, NM

NPI number 1477182889 Active

Practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Call (505) 272-0621 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2020-0111 (NM)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1477182889

Jacquelyn C. Brown's National Provider Identifier is 1477182889, issued on Apr 7, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 25, 2026.