Provider Demographics
NPI:1649826157
Name:BROWN, EMILY JARRETT (APRN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JARRETT
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:OAKES
Other - Last Name:JARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1120 15TH ST # OR6000
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-721-3813
Mailing Address - Fax:
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-4645
Practice Address - Country:US
Practice Address - Phone:706-721-6238
Practice Address - Fax:706-721-1459
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002873363LF0000X
GARN232764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty