Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn C. Brown

Individual provider Surgical Physician Assistant · NPI 1477182889

Jacquelyn C. Brown is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2020, 6 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
6
Licensed in
NM
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-0621
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2020-0111 (NM)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1477182889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2020
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Albuquerque