Marlene Brengard, APN
Individual provider Active NPI Adult Health Clinical Nurse Specialist · Jonesboro, AR
NPI 1720055031 · NPPES record last updated Oct 8, 2009
Key facts
- NPI
- 1720055031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Clinical Nurse Specialist 364SA2200X
- License
- SO1120CNS (AR)
- Practice address
- 300 Carson St
Jonesboro, AR 72401-3104 - Phone
- (870) 932-5296
- Fax
- (870) 910-7713
- NPI assigned
- Mar 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SO1120CNS | AR | MD | Adult Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | SO1120CNS | AR | Yes |
Addresses
Primary practice location
300 Carson St
Jonesboro, AR 72401-3104
Mailing address
5 Hill Home Dr
Paragould, AR 72450-4019
Phone (870) 239-9955
Other providers in Jonesboro, AR
- Breaking Chains Mental Health and Wellness, PLLC
- Breathe & Balance PLLC
- Breathe Easy Personal Care Service Corp
- Katherine Brecklein
- Lawana Breece
- Kelsey Denise Brents
- Amber Brewer
- Gina Labeth Brewer
- Jamie Brewer
- Meredith Harrison Brewer
All providers in Jonesboro, AR · Adult Health Clinical Nurse Specialist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.