Jennifer Brennan, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Saint Albans, VT
NPI 1518349554 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1518349554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 101-0131816 (VT)
- Practice address
- 107 Fisher Pond Rd
Saint Albans, VT 05478-6286 - Phone
- (802) 524-6554
- Fax
- (802) 524-6562
- NPI assigned
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401861 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 101-0131816 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- jbrennan@ncbmedicine.direct.kno2fy.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401861 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101-0131816 | VT | Yes |
Addresses
Primary practice location
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Mailing address
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 524-6554
Other providers in Saint Albans, VT
- Lauren Brady
- Tammy Brady
- Grace D Branon
- Holly Branon
- Jacqueline Moriah Bray
- Brianne Heyer, Psychologist P.L.L.C.
- Bright Spot Therapy, LLC
- Aaron Martin Brillhart
- Nicole Anne Brisson
- Jamie Brooks-Nowak
All providers in Saint Albans, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.