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General NPI Number Information
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NPI Number | 1679367940
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Entity Type | Individual
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Provider Name | JAZMYNE NICOLE BRIERRE
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 21017 113TH AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-2305
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Country | US
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Telephone | 718-465-1870
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Fax |
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Provider Business Mailing Address
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Address Line | 300 POMPTON RD
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City | WAYNE
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State | NJ
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Zip | 07470-2103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 357428
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 847054
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR26237300
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License Number State | NJ
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