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MS. JULIE JORDAN BROWN CCA NPI 1083117642


NPI Information

NPI: 1083117642
Provider Name: MS. JULIE JORDAN BROWN, CCA
Classification: Anaplastologist - 229N00000X
Entity Type: Individual
Address:
3400 S 103RD ST STE 200
MILWAUKEE, WI
ZIP 53227
Phone: (414) 543-1002
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MS. Julie Jordan Brown, CCA is an anaplastologist in Milwaukee, WI. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). MS. Julie Jordan Brown, CCA NPI is 1083117642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 S 103RD ST STE 200
MILWAUKEE, WI
ZIP 53227-163
Phone: (414) 543-1002
Fax: (414) 543-0137

The enumeration date for this NPI number is 3/9/2018 and was last updated on 6/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1229N00000XAnaplastologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141653200MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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