Active NPI
Jacquelaine Dorothy Brennan
- Psychiatric/Mental Health Nurse Practitioner
- West Palm Beach, FL
National Provider Identifier
1659003168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11042016
- Practice address
- 560 Village Blvd Ste 365
West Palm Beach, FL 33409-1984 - Phone
- (561) 556-1397
- NPI assigned
- Jun 24, 2022
- Last updated
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11042016 | FL | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 275317 | AZ |
Addresses
Primary practice location
560 Village Blvd Ste 365
West Palm Beach, FL 33409-1984
Mailing address
560 Village Blvd Ste 365
West Palm Beach, FL 33409-1984
Phone (561) 556-1397
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Jbrennanpmhnp@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275317 | AZ | MD | Addiction Psychiatry Physician |
| 11042016 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1659003168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 VILLAGE BLVD STE 365",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091984",
"telephone_number": "561-556-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 VILLAGE BLVD STE 365",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091984",
"telephone_number": "561-556-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JACQUELAINE",
"middle_name": "DOROTHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11042016",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "AZ",
"license": "275317",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Jbrennanpmhnp@gmail.com",
"affiliation": "N",
"endpointDescription": "Dedicatedprofessionalemail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21275 W Vista Royale Dr",
"city": "Wickenburg",
"state": "AZ",
"country_code": "US",
"postal_code": "853901285",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.