MS. JACQUELINE DAVON BROWN NP-C NPI 1639721269

NPI Information

  • NPI: 1639721269
  • Provider Name: MS. JACQUELINE DAVON BROWN, NP-C
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1337 E GARRISON BLVD
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 865-3848

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NPI Details

MS. Jacqueline Davon Brown, NP-C is a psychiatric/mental health nurse practitioner in Gastonia, NC. MS. Jacqueline Davon Brown, NP-C NPI is 1639721269. 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:

1337 E GARRISON BLVD
GASTONIA, NC
ZIP 28054-127
Phone: (704) 865-3848
Fax: (704) 854-3086

The NPI 1639721269 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2019 and was last updated on 9/26/2024.

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
1363L00000XNurse Practitioner173999NORTH CAROLINANo
2363L00000XNurse Practitioner5012406NORTH CAROLINANo
3363L00000XNurse Practitioner29365SOUTH CAROLINANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health5012406NORTH CAROLINANo
5363LP0808XNurse PractitionerPsychiatric/Mental Health29365SOUTH CAROLINAYes

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: 11/21/2025

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