Doctor Name: | MS. JENNIFER MINNICK BRENNAN |
NPI Number: | 1093928053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC, LLC |
License Number: | 26NC10476600 |
Business Practice Address: | 621 Shrewsbury Ave Shrewsbury, NJ - 077024153 |
Business Phone Number: | 7327415544 |
Business Fax Number: | |
Mailing Address: | 211 Beechwood Dr, SHREWSBURY |
State: | NJ |
Postal Code: | 077024467 |
Phone Number: | 7329361716 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 26NC10476600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |