JACQUELINE BROWN (NPI# 1831625672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831625672 |
| Entity Type | Individual |
| Full Name | JACQUELINE BROWN |
| Practice Address |
601 Stadium Mall Dr West Lafayette IN 47907-2052 |
| Practice Telephone | 7654941700 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28170225A | IN | Physician Assistants & Advanced Practice Nursing 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 |
601 STADIUM MALL DR |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47907-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116767 | Leslie D Lester | Nurse Practitioner | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2005-09-29 |
| 1730724295 | Brittany Lynn Perry | Registered Nurse | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2019-11-08 |
| 1679070924 | Andrew Mark Zaitsoff | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-04-11 |
| 1477058642 | Karen Elaine Westfall Collier | Counselor | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-03-28 |
| 1689172702 | Zhen Li | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-01-23 |
| 1720586936 | Laura Lee Wagner | Counselor | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-01-23 |
| 1114309655 | Yun Cai | Nurse Practitioner | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2015-06-21 |
| 1487055422 | Luis Javier Balcazar Jr. | Social Worker | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2014-09-09 |
| 1497182935 | Susan Lynn Prieto-welch | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2013-09-30 |
| 1982031530 | Megan Burton | Social Worker | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274464 | Christine Michelle Jones | Nurse Practitioner | Lyles-porter Hall 715 Clinic Drive, West Lafayette, IN 47907 | 2020-01-15 |
| 1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
| 1285095885 | Christina Ellen Manfred | Nurse Practitioner | 601 W. Stadium Ave, West Lafayette, IN 47907 | 2016-03-10 |
| 1265612626 | Anu Subramanian | Speech-Language Pathologist | 500 Oval Drive Purdue University, Dept of Speech Language and Hearing Sciences, West Lafayette, IN 47907 | 2007-11-13 |
| 1720163348 | Andrea Lynn Lopez | Specialist/Technologist | 900 N. University Ave, Room B63, West Lafayette, IN 47907 | 2006-10-25 |
| 1912914680 | Jeanette Stone Leonard | Audiologist | 715 Clinic Drive, Purdue University, West Lafayette, IN 47907 | 2006-08-02 |
| 1447224977 | Lindsey Ann Watson | Specialist/Technologist | 900 N University Dr, Mackey Arena, Room B60, West Lafayette, IN 47907 | 2006-02-13 |
| 1992280960 | Carol Callahan Lancaster | Nurse Practitioner | 601 Stadium Mall Drive, West Lafayette, IN 47907 | 2018-09-26 |
| 1104314046 | Lukas Micheal Passalacqua | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907 | 2018-04-26 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| Find all providers in zip 47907 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274464 | Christine Michelle Jones | Nurse Practitioner | Lyles-porter Hall 715 Clinic Drive, West Lafayette, IN 47907 | 2020-01-15 |
| 1700424819 | Abbi Marie Pena | Nurse Practitioner | 909 Sagamore Pkwy W, West Lafayette, IN 47906-1443 | 2019-12-19 |
| 1598267403 | Nisha Bogosian | Nurse Practitioner | 1400 W State St Ste B, West Lafayette, IN 47906-3438 | 2018-03-06 |
| 1285095885 | Christina Ellen Manfred | Nurse Practitioner | 601 W. Stadium Ave, West Lafayette, IN 47907 | 2016-03-10 |
| 1871896654 | Michelle Renee Thompson | Nurse Practitioner | 512 Sagamore Pkw W, West Lafayette, IN 47906-1819 | 2010-12-16 |
| 1528071404 | Beth Ann Taylor | Nurse Practitioner | 1400 West State Street, Bldg B, Ste C, West Lafayette, IN 47906 | 2006-08-14 |
| 1992280960 | Carol Callahan Lancaster | Nurse Practitioner | 601 Stadium Mall Drive, West Lafayette, IN 47907 | 2018-09-26 |
| 1225511033 | Ashley Mundil | Nurse Practitioner | 512 Sagamore Pkwy W, West Lafayette, IN 47906-1458 | 2018-09-09 |
| 1376060962 | Kimberly Ann Pauline Porter | Nurse Practitioner | 1400 W State St Ste C, West Lafayette, IN 47906-3438 | 2017-08-24 |
| 1649795766 | Katie M Neal | Nurse Practitioner | 915 Sagamore Pkwy W, West Lafayette, IN 47906-1443 | 2017-08-09 |
| Find all providers in WEST LAFAYETTE | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47907 |
Please comment or provide details below to improve the information on JACQUELINE BROWN.
| 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.