Brown, Jessica Michelle

Brown, Jessica Michelle is an sole proprietor health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brown, Jessica Michelle can be contacted via phone (864) 455-3287.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Phone: (864) 455-3287
Fax: (864) 455-5723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 211333 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25364 South Carolina

Profile Details

NPI number 1790102044
LBN Legal business name Brown, Jessica Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2014
Last updated Oct 13th, 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 1790102044 NPPES
South Carolina MEDICAID PENDING

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