MRS. JERRIE RENEE BAXLEY-BROWN MSW NPI 1033843412

NPI Information

NPI: 1033843412
Provider Name: MRS. JERRIE RENEE BAXLEY-BROWN, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1412 US HIGHWAY 45 N
ELDORADO, IL
ZIP 62930
Phone: (618) 273-3326
Get Directions

MRS. Jerrie Renee Baxley-brown, MSW is a mental health counselor in Eldorado, IL. MRS. Jerrie Renee Baxley-brown, MSW NPI is 1033843412. 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:

1412 US HIGHWAY 45 N
ELDORADO, IL
ZIP 62930-766
Phone: (618) 273-3326

The enumeration date for this NPI number is 7/12/2022 and was last updated on 4/3/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	135620793	OTHER	ILLINOIS	STATE OF ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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