Provider Demographics
NPI:1306487566
Name:BROWN, JODY LYNN (FNP-BC)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 BATTLEMENT CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:PARACHUTE
Mailing Address - State:CO
Mailing Address - Zip Code:81635-8903
Mailing Address - Country:US
Mailing Address - Phone:307-756-2016
Mailing Address - Fax:
Practice Address - Street 1:208 N BIG HORN AVE
Practice Address - Street 2:
Practice Address - City:MOORCROFT
Practice Address - State:WY
Practice Address - Zip Code:82721-6201
Practice Address - Country:US
Practice Address - Phone:307-756-3414
Practice Address - Fax:888-570-2239
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995073-NP363LF0000X
WY49257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily