NPI 1508752510 · live from the CMS NPI Registry
Jireh-Sela Brown
Nurse Practitioner, Pediatrics in Parkville, MO. National Provider Identifier 1508752510, active.
NPI record
| NPI | 1508752510 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 15350 Trailside Dr Apt 200, Parkville, MO 64152 |
| Practice phone | 614-615-1116 |
| Enumerated | June 16, 2025 |
| Last updated | October 21, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2026050981 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.