JAMIE M BROWN (NPI# 1205015633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205015633 |
| Entity Type | Individual |
| Full Name | JAMIE M BROWN |
| Other Name | JAMIE M JONES |
| Credential | PA-C |
| Practice Address |
1711 Gold Dr S Suite 170 Fargo ND 58103-6416 |
| Mailing Address |
1711 Gold Dr S Suite 170 Fargo ND 58103 |
| Practice Telephone | 7012327705 |
| Practice Fax Number | 7018939046 |
| Mailing Telephone | 7012327705 |
| Mailing Fax Number | 7018939046 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2012-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0375 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 968415100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1134743669 | Jamie Denise Brown | Registered Nurse | 10160 Orchid Ln Unit B, Waco, TX 76708-6240 | 2020-06-01 |
| 1437620812 | Jamie M Brown | Social Worker | 1008 Clifford Brown Walk, Wilmington, DE 19801-3428 | 2018-12-11 |
| 1346710480 | Jamie Ann Brown | Licensed Practical Nurse | 2036 Willowood Dr N, Ontario, OH 44906-1764 | 2018-12-02 |
| 1639646854 | Jamie Elizabeth Brown | Counselor | 1124 W Carson St Bldg N33, Torrance, CA 90502-2006 | 2018-10-25 |
| 1669802799 | Jamie Brown | Physician Assistant | 1492 S Erie Hwy, Hamilton, OH 45011-4048 | 2013-11-27 |
| 1811298920 | Jamie Brown | Rehabilitation Practitioner | 706 Blue Opal Ct, Fernley, NV 89408-9493 | 2010-11-04 |
| 1427698570 | Jamie Brown | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-01-07 |
| 1164060638 | Jamie Blaine Brown | Pharmacist | 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2019-12-16 |
| Street Address |
1711 GOLD DR S SUITE 170 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972037935 | Professional Rehabilitation Center | Clinic/Center | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2017-04-17 |
| 1255780250 | Alyssa Briggs | Occupational Therapist | 1711 Gold Dr S, Fargo, ND 58103-6416 | 2016-06-09 |
| 1134576127 | Hunter Stemmer | Physical Therapist | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2016-05-19 |
| 1295076750 | Sarah J Wilson | Specialist | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2013-03-08 |
| 1659634053 | Peter Alan Anderson | Physical Therapist | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2012-06-20 |
| 1104108695 | Lillestol Research LLC | Nurse Practitioner | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2011-09-12 |
| 1467688192 | Mitchell Wolden | Physical Therapist | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
| 1861419723 | Catherine M Garvey | Physician Assistant | 2801 University Dr S, Fargo, ND 58103-6029 | 2006-07-16 |
| 1881148005 | Kali Luecke | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2016-08-04 |
| 1215480009 | Jason Byrne Smith | Physician Assistant | 801 Broadway N, Fargo, ND 58102-3641 | 2016-07-27 |
| 1659758381 | Sarah Winter | Physician Assistant | 1702 University Dr S, Fargo, ND 58103-4940 | 2015-05-01 |
| 1861801763 | Lisa Lynn Froemke | Physician Assistant | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-08-05 |
| 1033525365 | Kathryn Gray | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2014-07-08 |
| 1326462490 | Shannon Lynn Gullingsrud | Physician Assistant | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-02-10 |
| 1467722702 | Yan Tesch | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2012-01-04 |
| 1881980415 | Jennifer L Fisher | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2011-06-22 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.