Individual provider · Type 1 NPI

Jenee Brock

Family Nurse Practitioner · Bethpage, NY

NPI number 1821828492 Active

Practice location

4295 Hempstead Tpke
Bethpage, NY 11714-5713

Fax (904) 212-1618

Mailing address

7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921

Other practice locations

  • 327 Beach 19th St, Far Rockaway, NY 11691-4423 · (718) 869-7000

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X747933 (NY)
Adult Medicine Physician 207QA0505X354940 (NY)
Family Nurse Practitioner Primary 363LF0000X354940 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1821828492

Jenee Brock's National Provider Identifier is 1821828492, issued on Aug 7, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bethpage, NY. The record was last updated on Sep 30, 2025.