Provider Demographics
NPI:1700163607
Name:BROWN, DAWN JYLANI (LPN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:JYLANI
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5623 EDGEMAR AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-2824
Mailing Address - Country:US
Mailing Address - Phone:510-209-7632
Mailing Address - Fax:
Practice Address - Street 1:185 HALL ST
Practice Address - Street 2:APT 907
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-5045
Practice Address - Country:US
Practice Address - Phone:626-768-8358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2025-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
NY253284164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty