JAMIE THERSE BREWER APRN-CS NPI 1386110708

NPI Information

  • NPI: 1386110708
  • Provider Name: JAMIE THERSE BREWER, APRN-CS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1401 E STATE ST FL 4
    ROCKFORD, IL
    ZIP 61104
  • Phone: (779) 696-4123

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NPI Details

Jamie Therse Brewer, APRN-CS is a psychiatric/mental health nurse practitioner in Rockford, IL with 7 years of experience. Jamie Therse Brewer, APRN-CS NPI is 1386110708. 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:

1401 E STATE ST FL 4
ROCKFORD, IL
ZIP 61104-315
Phone: (779) 696-4123

The NPI 1386110708 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 10/24/2018 and was last updated on 10/19/2024.

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
12084B0040XPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry309.013502ILLINOISNo
22084P0800XPsychiatry & NeurologyPsychiatry309013502ILLINOISNo
32084P0800XPsychiatry & NeurologyPsychiatry209018120ILLINOISNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health377002908ILLINOISYes

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: 3/30/2025

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