Provider Demographics
NPI:1629106844
Name:BROWN, JESSICA ERIN
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:ERIN
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:CORNERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37047-7048
Mailing Address - Country:US
Mailing Address - Phone:931-363-4132
Mailing Address - Fax:
Practice Address - Street 1:1222 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-6402
Practice Address - Country:US
Practice Address - Phone:931-490-1500
Practice Address - Fax:931-490-1502
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator