Individual provider · Type 1 NPI

Jennifer Tawanda Brown Gaines

Student in an Organized Health Care Education/Training Program · Gould, AR

NPI number 1508724105 Active

Practice location

0 Pope St
Gould, AR 71643

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

Another provider at this address

About NPI 1508724105

Jennifer Tawanda Brown Gaines's National Provider Identifier is 1508724105, issued on Jan 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gould, AR. The record was last updated on Aug 21, 2026.