IndividualActive
Jacquelyn Brown
NPI 1477182889 · Surgical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1477182889
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Phone: (505) 272-0621
Approximate (ZIP-level) locationGet directions
Mailing address
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Registry dates
- Enumerated
- 2020-04-07
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.