Individual
MRS. JENNY BREVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5678 GREEN ISLAND DR, LAKE WORTH, FL 33463-7393
(954) 663-2092
Mailing address
5678 GREEN ISLAND DR, LAKE WORTH, FL 33463-7393
(954) 663-2092
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11029356
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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