Jacqueline Ann Brown, FNP
Nurse Practitioner, Family in Pooler, GA. Individual provider (NPI-1).
NPI number1942578737
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1942578737
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Ann Brown
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2011
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN194174 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 194174 | GA |
Practice location
122 Canal St Ste 102Pooler, GA 31322-4408
Phone 912-450-0999 · Fax 912-450-0998
Mailing address
122 Canal St Ste 102Pooler, GA 31322-4408
Phone 912-450-0999 · Fax 912-450-0998
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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