Provider Demographics
NPI:1881302214
Name:BROWN, JESSICA ELIZABETH (LPN)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ELIZABETH
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 1:5300 BERKLEY DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7204
Mailing Address - Country:US
Mailing Address - Phone:504-302-7182
Mailing Address - Fax:
Practice Address - Street 1:5300 BERKLEY DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7204
Practice Address - Country:US
Practice Address - Phone:504-302-7182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20140881164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse