Provider Demographics
NPI:1770074783
Name:BROWN, JAMIE ELLEN (CRNP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELLEN
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:700 MEDICAL ARTS BLDG STE 710
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-7141
Mailing Address - Country:US
Mailing Address - Phone:724-543-8626
Mailing Address - Fax:724-543-8736
Practice Address - Street 1:77 GLADE DR
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7140
Practice Address - Country:US
Practice Address - Phone:724-545-2205
Practice Address - Fax:724-545-2600
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP018611363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner