Provider Demographics
NPI:1992928154
Name:JO BROWNA PC
Entity type:Organization
Organization Name:JO BROWNA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PC
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:609-320-2076
Mailing Address - Street 1:13 DORI CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-9539
Mailing Address - Country:US
Mailing Address - Phone:609-320-2076
Mailing Address - Fax:856-435-7166
Practice Address - Street 1:13 DORI CT
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-9539
Practice Address - Country:US
Practice Address - Phone:609-320-2076
Practice Address - Fax:856-435-7166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR05526200163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherTAX ID