Brown, Jacqueline B.

Brown, Jacqueline B. is an sole proprietor health care provider with primary practice located at 1100-1 S. Ponce De Leon Blvd , St. Augustine FL 32092. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Brown, Jacqueline B. can be contacted via phone (904) 824-7733.

Contact Information

Primary practice address
1100-1 S. Ponce De Leon Blvd St. Augustine FL 32092
Phone: (904) 824-7733
Fax: (904) 829-9768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY8006 Florida

Profile Details

NPI number 1659551497
LBN Legal business name Brown, Jacqueline B.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2007
Last updated Jan 22nd, 2010 - about 16 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.

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