Provider Demographics
NPI:1467579722
Name:BROWN, JANA LEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:LEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502-7326
Mailing Address - Country:US
Mailing Address - Phone:301-729-1635
Mailing Address - Fax:301-729-1697
Practice Address - Street 1:938 NATIONAL HWY
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-7326
Practice Address - Country:US
Practice Address - Phone:301-729-1635
Practice Address - Fax:301-729-1697
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00586231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2429537OtherUNITED HEALTHCARE
MDJ813 0001OtherGHMSI & BLUECHOICE
3147768OtherMAMSI
MD529011OtherCAREFIRST OF MD
MD874M635FMedicare ID - Type UnspecifiedMEDICARE
MD529011OtherCAREFIRST OF MD