Provider Demographics
NPI:1104118330
Name:BROWN, JODI ALANA (DO)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:ALANA
Last Name:BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 PORTER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8501
Mailing Address - Country:US
Mailing Address - Phone:802-388-6326
Mailing Address - Fax:
Practice Address - Street 1:104 PORTER DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-8527
Practice Address - Country:US
Practice Address - Phone:802-388-6326
Practice Address - Fax:802-399-4904
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT032-0110447207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology