Provider Demographics
NPI:1063725802
Name:WARREN-BROWN, JARYN (MA, MS)
Entity type:Individual
Prefix:
First Name:JARYN
Middle Name:
Last Name:WARREN-BROWN
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6083 N FIGARDEN DR # 209
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3226
Mailing Address - Country:US
Mailing Address - Phone:559-573-7991
Mailing Address - Fax:877-346-9317
Practice Address - Street 1:6103 N 1ST ST STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5461
Practice Address - Country:US
Practice Address - Phone:559-573-7991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88234106H00000X
133N00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No133N00000XDietary & Nutritional Service ProvidersNutritionist