Provider Demographics
NPI:1356017008
Name:BROWNING, JACQUELYNN LORENA (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:JACQUELYNN
Middle Name:LORENA
Last Name:BROWNING
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 GLENVIEW LN
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-6743
Mailing Address - Country:US
Mailing Address - Phone:304-790-2248
Mailing Address - Fax:
Practice Address - Street 1:LAVALE MEDICAL CENTER
Practice Address - Street 2:922 NATIONAL HIGHWAY
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502
Practice Address - Country:US
Practice Address - Phone:240-362-7294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC003843363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily