Brown, Jacqualyn Andra
Brown, Jacqualyn Andra is an sole proprietor health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Brown, Jacqualyn Andra can be contacted via phone (706) 432-7893.Contact Information
Primary practice address
3421 Mike Padgett Hwy
Augusta GA 30906-3815
Phone: (706) 432-7893
Fax: (706) 432-3780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | RN211099 | Georgia |
Profile Details
| NPI number | 1346521465 |
|---|---|
| LBN Legal business name | Brown, Jacqualyn Andra |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2011 |
| Last updated | Sep 2nd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346521465 | NPPES |
| Georgia | MEDICAID | 000606317B |
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