Jeremy Brandt Jenny, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

200142 Issued in LA

Practice address

5475 Essen LN
Baton Rouge, LA 70809-3737

Phone

(225) 767-8493

NPI assigned

Aug 4, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1699089417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093737",
            "telephone_number": "225-767-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093737",
            "telephone_number": "225-767-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNY",
        "first_name": "JEREMY",
        "middle_name": "BRANDT",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "200142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Jenkins
• Jenna M. Bourgeois, MD, LLC
• Beverly Ann Jennings
• Silas T Jennings, DC
• Spencer Jennings
• Susanne Maria Jensen, PHD
• Rachel Elaine Jeoffroy, RD
• Thelma Eloyce Jerro
• Deborah M Jerry, R.PH
• Jessica Rome, Rd, LDN, L.L.C

• Medical Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.