Brenner, Jennifer L

Brenner, Jennifer L is an individual health care provider with primary practice located at 200 Front St Ste C, Vestal NY 13850-1559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brenner, Jennifer L can be contacted via phone (607) 239-5694.

Contact Information

Primary practice address
200 Front St Ste C Vestal NY 13850-1559
Phone: (607) 239-5694
Fax: (607) 239-5720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F335028-1 New York

Profile Details

NPI number 1417047671
LBN Legal business name Brenner, Jennifer L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 15th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417047671 NPPES
New York MEDICAID 02948823

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