Jennilee Rose Brinks
Nurse Practitioner, Family in Horseheads, NY. Individual provider (NPI-1).
NPI number1609412774
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1609412774
- Entity type
- Individual (NPI-1)
- Name
- Jennilee Rose Brinks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2019
- Certification date
- Mar 4, 2021
- Last updated
- Mar 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F344997-01 | NY | Yes |
Practice location
31 Arnot RdHorseheads, NY 14845-8533
Phone 607-795-5100
Mailing address
1 Guthrie SqSayre, PA 18840-1625
Phone 570-888-5858
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Family Nurse Practitioner providers in Horseheads · All 394 providers in Horseheads
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