Individual
MARY JAYNE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13475 SOUTHERN BLVD STE 202, LOXAHATCHEE GROVES, FL 33470-9233
(561) 798-2468
(561) 798-2733
Mailing address
1920 PALM BEACH LAKES BLVD STE 201, WEST PALM BEACH, FL 33409-3506
(561) 509-5009
(561) 738-1822
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
762192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303556500
—
FL
Enumeration date
08/15/2005
Last updated
11/07/2022
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