Provider Demographics
NPI:1053690347
Name:BROWN, JAMIE LYNN (RN, CMSRN)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN, CMSRN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:MCBETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CMSRN
Mailing Address - Street 1:610 3RD AVE S
Mailing Address - Street 2:
Mailing Address - City:DAKOTA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50529-5028
Mailing Address - Country:US
Mailing Address - Phone:515-408-5041
Mailing Address - Fax:
Practice Address - Street 1:610 3RD AVE S
Practice Address - Street 2:
Practice Address - City:DAKOTA CITY
Practice Address - State:IA
Practice Address - Zip Code:50529-5028
Practice Address - Country:US
Practice Address - Phone:515-408-5041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA115503163W00000X, 163WH0200X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health