Provider Demographics
NPI:1124426754
Name:BROWN, JENNIFER MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2741 DEBARR RD STE C416
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2998
Mailing Address - Country:US
Mailing Address - Phone:907-931-7101
Mailing Address - Fax:907-274-7855
Practice Address - Street 1:2741 DEBARR RD STE C416
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2998
Practice Address - Country:US
Practice Address - Phone:907-931-7101
Practice Address - Fax:907-274-7855
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-13
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VIMD61052229207R00000X
AK171771207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine