JENEE BROCK NPI 1821828492

NPI Information

  • NPI: 1821828492
  • Provider Name: JENEE BROCK
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4295 HEMPSTEAD TPKE
    BETHPAGE, NY
    ZIP 11714
  • Phone: (904) 372-3943

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NPI Details

Jenee Brock is a family nurse practitioner in Bethpage, NY. Jenee Brock NPI is 1821828492. 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:

4295 HEMPSTEAD TPKE
BETHPAGE, NY
ZIP 11714-713
Phone: (904) 372-3943
Fax: (904) 212-1618

The NPI 1821828492 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 8/7/2024 and was last updated on 9/30/2025.

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
1163WE0003XRegistered NurseEmergency747933NEW YORKNo
2207QA0505XFamily MedicineAdult Medicine354940NEW YORKNo
3363LF0000XNurse PractitionerFamily354940NEW YORKYes

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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