Individual
JENNY BROSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
(844) 760-0526
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
(844) 760-0526
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
1021064
TX
363LF0000X
Family Nurse Practitioner
Primary
10013536
OR
363LF0000X
Family Nurse Practitioner
1020164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2E7434
—
TX
05
—
500826823
—
OR
Enumeration date
01/08/2021
Last updated
02/24/2026
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