Brown, Jelisa Marie

Brown, Jelisa Marie is an sole proprietor health care provider with primary practice located at 7220 Nw 114Th Ave # 20216 , Doral FL 33178-5562. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Assistant is her primary health care specialty. Brown, Jelisa Marie can be contacted via phone (787) 439-2552.

Contact Information

Primary practice address
7220 Nw 114Th Ave # 20216 Doral FL 33178-5562
Phone: (787) 439-2552
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI5506 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7523 South Carolina

Profile Details

NPI number 1770177826
LBN Legal business name Brown, Jelisa Marie
Credentials SLP-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2021
Last updated Jun 8th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770177826 NPPES
South Carolina MEDICAID GP7866

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