Individual provider · NPI-1
Jessica Caitlin Brimer, F.N.P
Nurse Practitioner, Family · Islandia, NY
NPI number1508298431
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1508298431
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Caitlin Brimer
- Credential
- F.N.P
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2013
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F348296-01 | NY | Yes |
| 163W00000X | Registered Nurse | 673301-1 | NY |
Practice location
3001 Express Dr NIslandia, NY 11749-5301
Phone 631-292-6747
Mailing address
3001 Express Dr NIslandia, NY 11749-5301
Phone 631-292-6747
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