Brennan, Mary Jayne

Brennan, Mary Jayne is an individual health care provider with primary practice located at 13475 Southern Blvd Ste 202 , Loxahatchee Groves FL 33470-9233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Brennan, Mary Jayne can be contacted via phone (561) 798-2468.

Contact Information

Primary practice address
13475 Southern Blvd Ste 202 Loxahatchee Groves FL 33470-9233
Phone: (561) 798-2468
Fax: (561) 798-2733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 762192 Florida

Profile Details

NPI number 1164424628
LBN Legal business name Brennan, Mary Jayne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Nov 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164424628 NPPES
Florida MEDICAID 303556500

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