Jennifer Mary Brennan, AGNPPC-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP016640 Issued in PA

Practice address

30 Lawrence Rd Ste 500
Broomall, PA 19008

Phone

(484) 446-3660

NPI assigned

Nov 1, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Pediatric Adolescent Medicine Physician
  • Chester, PA
  • NPI 1487001996
  NPD

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1922550383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 VIRGINIA AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832124",
            "telephone_number": "610-924-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAWRENCE RD STE 500",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "19008",
            "telephone_number": "484-446-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "AGNPPC-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Bove, MD
• Grace F Bowler, AS
• Ann Marie Daly Bradley, CRNP
• Michele Bramley, CRNP
• Ashley Brawley
• Richard Stephen Brenner, O.D.
• Mark Prince Brigham, M.D.
• David Christopher Brooks, M.D., PH.D.
• Laura Winsor Brooks, P.A.
• Broomall Care Center LLC (Marple Gardens Rehabilitation and Nursing Center)

• Primary Care Nurse Practitioner in Broomall, PA
• Providers in Broomall, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.