JAMIE THERSE BREWER APN NPI 1386110708

NPI Information

NPI: 1386110708
Provider Name: JAMIE THERSE BREWER, APN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: SWEDISHAMERICAN HOSPITAL

PECOS Registration: Yes

Address:
1401 E STATE ST FL 4
ROCKFORD, IL
ZIP 61104
Phone: (779) 696-4123
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Jamie Therse Brewer, APN is a psychiatric/mental health nurse practitioner in Rockford, IL with 6 years of experience. Jamie Therse Brewer, APN NPI is 1386110708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1401 E STATE ST FL 4
ROCKFORD, IL
ZIP 61104-315
Phone: (779) 696-4123

The NPI 1386110708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 2/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	309.013502	ILLINOIS	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	209018120	ILLINOIS	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	309013502	ILLINOIS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209-018120	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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