MARY JAYNE BRENNAN ARNP NPI 1164424628

NPI Information

  • NPI: 1164424628
  • Provider Name: MARY JAYNE BRENNAN, ARNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 13475 SOUTHERN BLVD STE 202
    LOXAHATCHEE GROVES, FL
    ZIP 33470
  • Phone: (561) 798-2468

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NPI Details

Mary Jayne Brennan, ARNP is a pediatrics nurse practitioner in Loxahatchee Groves, FL. Mary Jayne Brennan, ARNP NPI is 1164424628. 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:

13475 SOUTHERN BLVD STE 202
LOXAHATCHEE GROVES, FL
ZIP 33470-233
Phone: (561) 798-2468
Fax: (561) 798-2733

The enumeration date for this NPI number is 8/15/2005 and was last updated on 11/7/2022.

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
1363LP0200XNurse PractitionerPediatrics762192FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1303556500MEDICAIDFLORIDA

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: 11/21/2025

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