Active NPIIndividual provider

Jazmyne N Brierre

Nurse Practitioner, Family in Queens Village, New York

NPI Number1679367940
Practice location
21017 113TH Ave, Queens Village, NY 11429-2305
Fax
—
Last updated
July 25, 2025

Jazmyne Nicole Brierre is a Nurse Practitioner, Family based in Queens Village, NY. Jazmyne Nicole Brierre practices in Queens Village, NY. The NPI Number for Jazmyne Nicole Brierre is 1679367940 and holds a License No. 847054 (NY). The current practice location address for Jazmyne Nicole Brierre is 21017 113TH Ave, Queens Village, NY 11429-2305 and can be reached out via phone at 718-465-1870.

Provider Profile Details

NPI Number
1679367940
Provider Name
Jazmyne Nicole Brierre
Provider Entity Type
Individual
Gender
Female
Address
21017 113TH Ave, Queens Village, NY 11429-2305
Phone Number
718-465-1870
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2025
Last Update Date
July 25, 2025
Certification Date
July 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
21017 113TH Ave
Queens Village, NY 11429-2305
Zip
11429-2305
Phone Number
718-465-1870
Queens Village, NY 11429Get directions →

Provider Business Mailing Address Details

Address
300 Pompton RD
Wayne, NJ 07470-2103
City
Wayne
State
NJ
Zip
07470-2103

License Information

License Number (1)
847054
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NR26237300
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (4)
357428
License State (4)
NY
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jazmyne N Brierre?

The NPI number of Jazmyne N Brierre is 1679367940. It was assigned on April 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Jazmyne N Brierre?

Jazmyne N Brierre is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 847054.

Where does Jazmyne N Brierre practice?

The practice location is 21017 113TH Ave, Queens Village, NY 11429-2305. The office can be reached at 718-465-1870 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679367940 directly on the NPPES registry website.

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