Provider Demographics
NPI:1306905328
Name:BROWN, JANINE E (CFNP)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:113 GAINSBOROUGH SQ STE 101
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-1713
Mailing Address - Country:US
Mailing Address - Phone:757-436-3285
Mailing Address - Fax:757-436-2262
Practice Address - Street 1:113 GAINSBOROUGH SQ STE 202
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1714
Practice Address - Country:US
Practice Address - Phone:757-436-3285
Practice Address - Fax:757-436-2262
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024119733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA36575POtherOPTIMA
NC7000390Medicaid
VA7789645Medicaid
VA36575POtherOPTIMA