Provider Demographics
NPI:1275037749
Name:BROWN, JO ANN (MS, RDN)
Entity Type:Individual
Prefix:MS
First Name:JO ANN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 CATON AVE APT 6A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2588
Mailing Address - Country:US
Mailing Address - Phone:917-776-4368
Mailing Address - Fax:
Practice Address - Street 1:2233 CATON AVE APT 6A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2588
Practice Address - Country:US
Practice Address - Phone:917-776-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic