National Provider Identifier

Jennifer Lynn Brentley

Jennifer Lynn Brentley is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 397-8039.

NPI 1891319414Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1891319414
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 29, 2020
Last Updated
May 29, 2020

Practice Location

  • 3381 Matson RD
  • Jamestown, NY 14701-9635

Phone: (716) 397-8039

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1891319414
Entity Type
Individual
Last Name
Brentley
First Name
Jennifer
Middle Name
Lynn
Mailing Street Address
3381 Matson RD
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-9635
Mailing Country
US
Mailing Phone
(716) 397-8039
Practice Street Address
3381 Matson RD
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-9635
Practice Country
US
Practice Phone
(716) 397-8039
Enumeration Date
May 29, 2020
Last Updated
May 29, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
May 29, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)