Memole, Brenna Jean

Memole, Brenna Jean is an individual health care provider with primary practice located at 5998 Alcala Park Student Health Center, Maher Hall 140, San Diego CA 92110-2492. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Memole, Brenna Jean can be contacted via phone (619) 260-4595.

Contact Information

Primary practice address
5998 Alcala Park Student Health Center, Maher Hall 140 San Diego CA 92110-2492
Phone: (619) 260-4595
Fax: (610) 260-2375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 716775 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95008681 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95008681 California

Profile Details

NPI number 1437698677
LBN Legal business name Memole, Brenna Jean
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Mar 15th, 2020 - about 6 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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