IndividualActive
Laurie Brown
NPI 1366805608 · Primary Care Nurse Practitioner · Jackson, WY
Provider details
- NPI number
- 1366805608
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16971 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6805 Squaw Creek Rd
Jackson, WY 83001-8888
Phone: (307) 690-8378
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1481
Wilson, WY 83014-1481
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2016-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.