NPI 1205335619

Annetta Aileen Brown

Practitioner Child Intellectual and/or Developmental Disabilities Respite Care Jacksonville, FL

Practice location

Address: 4901 Sunbeam Rd APT 1016, Jacksonville, FL 32257
Phone: (904) 502-3363
Fax: (904) 527-1686
Mailing address: 8859 Old Kings Rd S APT 909, Jacksonville, FL 32257-1751

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1205335619
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2018
Record last updated: 30 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.