Brechtel, Jennifer S

Brechtel, Jennifer S is an individual health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Brechtel, Jennifer S can be contacted via phone (228) 863-1132.

Contact Information

Primary practice address
1600 Broad Ave Gulfport MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X C6737 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X C6737 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R873301 Mississippi

Profile Details

NPI number 1649370503
LBN Legal business name Brechtel, Jennifer S
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jan 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649370503 NPPES
Mississippi MEDICAID 02309788

Popular Providers