JENNIFER LYNN BRINCKERHOFF PA-C NPI 1902209844

NPI Information

NPI: 1902209844
Provider Name: JENNIFER LYNN BRINCKERHOFF, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4750 THE GROVE DRIVE STE 280
ORLANDO, FL
ZIP 32819
Phone: (407) 704-7546
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Jennifer Lynn Brinckerhoff, PA-C is a medical physician assistant in Orlando, FL with 10 years of experience. Jennifer Lynn Brinckerhoff, PA-C NPI is 1902209844. 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:

4750 THE GROVE DRIVE STE 280
ORLANDO, FL
ZIP 32819
Phone: (407) 704-7546
Fax: (321) 400-1109

The NPI 1902209844 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 10/7/2014 and was last updated on 6/4/2018.

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	207N00000X	Dermatology		PA9108310	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	PA9108310	FLORIDA	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: 4/28/2024

NPI Synchronization or Removal

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