| Doctor Name: | JACQUELINE NICHOLE BRENNAN |
| NPI Number: | 1689979486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CCRN |
| License Number: | RN285048 |
| Business Practice Address: | 2288 Township Road 925 Perrysville, OH - 448649406 |
| Business Phone Number: | 4193684192 |
| Business Fax Number: | 4193684192 |
| Mailing Address: | 2288 Township Road 925, PERRYSVILLE |
| State: | OH |
| Postal Code: | 448649406 |
| Phone Number: | 4193684192 |
| Fax Number: | 4193684192 |
| NPI Enumeration Date: | 01/26/2011 |
| NPI Last Update Date: | 01/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | RN285048 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |