Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact RN PLLC

Organization Registered Nurse · NPI 1952264152

Impact RN PLLC is a Registered Nurse in Brentwood, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

167 Merrill St
Brentwood, NY 11717
Phone: (631) 767-9090
Fax: (270) 837-7593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1952264152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Mickens — Owner/Managing Member · (631) 767-9090
NPI enumeratedDecember 4, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address248 Route 25a Ste 3034, East Setauket, NY 11733-2954

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