JACQUELINE BROWN (NPI# 1356578207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356578207 |
| Entity Type | Individual |
| Full Name | JACQUELINE BROWN |
| Practice Address |
4944 E Clinton Way 101 Fresno CA 93727-1527 |
| Mailing Address |
113 W Valencia Ave Fresno CA 93706-2941 |
| Practice Telephone | 5592514800 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599006 | Jacqueline Wickline Brown | Technician | 519 Fort Spring Pike, Ronceverte, WV 24970-8093 | 2020-08-19 |
| 1972130078 | Jacqueline Leigh Brown | Nurse Practitioner | 904 Holiday Dr Ste 402, Forrest City, AR 72335-9157 | 2020-03-26 |
| 1396389763 | Jacqueline Marie Brown | Speech-Language Pathologist | 1207 N 152nd St Ste A, Shoreline, WA 98133-6247 | 2019-10-29 |
| 1801398573 | Jacqueline Brown | Registered Nurse | 3580 Sowles Rd Apt 318, Hamburg, NY 14075-2612 | 2018-03-08 |
| 1871017814 | Jacqueline Diana Brown | Counselor | 7405 Metropolitan Ave Apt 2f, Middle Village, NY 11379-2636 | 2017-08-01 |
| 1760905772 | Jacqueline Brown | Technician | 5212 C St Se, Washington, DC 20019-6311 | 2017-07-21 |
| 1326592767 | Jacqueline Lee Brown | Speech-Language Pathologist | 30 N 1st E, Driggs, ID 83422-5219 | 2016-08-14 |
| 1902201585 | Jacqueline Brown | Registered Nurse | 1203 Jackson St, Marinette, WI 54143-2014 | 2014-10-25 |
| 1093125825 | Jacqueline Florence Brown | Licensed Practical Nurse | 56 S 11th Ave, Mount Vernon, NY 10550-2909 | 2014-05-01 |
| 1922425362 | Jacqueline Brown | Nurse Practitioner | 529 Penn Ave, Drexel Hill, PA 19026-1414 | 2014-03-24 |
| Street Address |
4944 E CLINTON WAY 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114147048 | April R Gonzales I | Counselor | 4944 E Clinton Way, Fresno, CA 93727-1527 | 2007-04-25 |
| 1376847624 | Anna Marie Champ | Counselor | 4944 E Clinton Way, Ste. 101, Fresno, CA 93727-1527 | 2010-12-30 |
| 1902122914 | Jacques Leffall | Counselor | 4944 E Clinton Way, Suite #101, Fresno, CA 93727-1527 | 2010-04-15 |
| 1811211956 | Irene Kaufman | Social Worker | 4944 E Clinton Way, Fresno, CA 93727-1527 | 2010-03-18 |
| 1700112109 | Roxanne Linda Luevanos | Counselor | 4944 E Clinton Way, Suite 101, Fresno, CA 93727-1527 | 2009-10-20 |
| 1760717839 | Jessica Anel Lopez | Counselor | 4944 E Clinton Way, Ste. 101, Fresno, CA 93727-1527 | 2009-10-07 |
| 1659504611 | Jeremy S Ramirez | Counselor | 4944 E Clinton Way, Fresno, CA 93727-1527 | 2009-08-25 |
| 1194952077 | Lenora Broady | Counselor | 4944 E Clinton Way, 101, Fresno, CA 93727-1527 | 2009-06-17 |
| 1558598433 | James Rocanella | Counselor | 4944 E Clinton Way, 101, Fresno, CA 93727-1527 | 2009-06-17 |
| 1104053081 | Robert Martinez | Counselor | 4944 E Clinton Way, 101, Fresno, CA 93727-1527 | 2009-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.