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

Jenee Brock

Individual provider Emergency Registered Nurse · NPI 1821828492

Jenee Brock is a Nurse Practitioner in Bethpage, New York. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Specialties on file
3

Practice location Address checks out

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone: (904) 372-3943
Fax: (904) 212-1618
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354940 (NY)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 747933 (NY)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 354940 (NY)

Record details

NPI number1821828492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address7751 Belfort Pkwy Ste 120, Jacksonville, FL 32256-6921

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare