Provider Demographics
NPI:1811759657
Name:BROWN, SARAH JESSICA (DNP, APRN, CNM, WHNP)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JESSICA
Last Name:BROWN
Suffix:
Gender:F
Credentials:DNP, APRN, CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 WESTLAKE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-1620
Mailing Address - Country:US
Mailing Address - Phone:847-445-6644
Mailing Address - Fax:
Practice Address - Street 1:21660 W FIELD PKWY STE 201
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:IL
Practice Address - Zip Code:60010-7265
Practice Address - Country:US
Practice Address - Phone:847-220-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209029235363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health