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JACLYN RENEE BRUNNER MD NPI 1619108347


NPI Information

NPI: 1619108347
Provider Name: JACLYN RENEE BRUNNER, MD
Classification: Personal Emergency Response Attendant - 146D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 COOPER PLZ
DEPARTMENT OF EMERGENCY MEDICINE
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2627
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Jaclyn Renee Brunner, MD is a personal emergency response attendant in Camden, NJ with 16 years of experience. The provider is individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. Jaclyn Renee Brunner, MD NPI is 1619108347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:2008

The provider's business location address is:

1 COOPER PLZ
DEPARTMENT OF EMERGENCY MEDICINE
CAMDEN, NJ
ZIP 08103-461
Phone: (856) 342-2627

The NPI 1619108347 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 7/29/2009 and was last updated on 6/21/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1146D00000XPersonal Emergency Response AttendantMT195992PENNSYLVANIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.