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MS. BRENNA JEAN MEMOLE AGNP-C
NPI 1437698677
Nurse Practitioner - Adult Health in San Diego, CA

Active since February 21, 2017
5998 ALCALA PARK, STUDENT HEALTH CENTER, MAHER HALL 140, SAN DIEGO, CA 92110(619) 260-4595(610) 260-2375 Get Directions Write a Review

NPPES record last updated: March 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2020, Apr 30, 2019, Sep 10, 2018 and 1 more (4 updates tracked since 2017).

About Ms. Brenna Jean Memole Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BRENNA JEAN MEMOLE AGNP-C (NPI 1437698677) is an individual adult health provider in San Diego, California, licensed in California (95008681) and active in the NPI registry since February 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437698677
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. BRENNA JEAN MEMOLECredential: AGNP-C
Location Address5998 ALCALA PARK, STUDENT HEALTH CENTER, MAHER HALL 140San Diego, CA 92110-2492
Mailing Address5998 Alcala Park, Student Health Center, Maher Hall 140San Diego, CA 92110-2492 · (619) 260-4595 · Fax (610) 260-2375
Phone(619) 260-4595
Fax(610) 260-2375
Sole ProprietorNo
Enumeration DateFebruary 21, 2017
Last NPPES UpdateMarch 15, 20204 updates tracked since enumeration
NPPES CertifiedMarch 15, 2020
✔ NPI 1437698677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95008681
Also ListedRegistered NurseTaxonomy 163W00000X · License 716775 (NY)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95008681 (CA)
5998 ALCALA PARK, San Diego, CA 92110
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1617 W 168th StNew York, NY 10032-3703 · Phone (212) 305-5756
Location 2590 Forest AvePalo Alto, CA 94301-2611 · Phone (650) 288-4080

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL MELARA BOCATC
Specialist/Technologist (Athletic Trainer)
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (619) 260-8895
PATRICK LANGIT ATC
Specialist/Technologist, Other
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (619) 260-8895
JUSTINE MUNSAYAC COLIFLORES ATC
Specialist/Technologist (Athletic Trainer)
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (619) 260-8895
CASSANDRA MARIE FISHER
Counselor (Mental Health)
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (619) 800-5119
NICOLE WHITE-MADOLORA
Specialist/Technologist (Athletic Trainer)
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (619) 260-4600
MIGUEL ANGEL GARCIA SANCHEZ
Counselor (Mental Health)
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (786) 575-4962
ELIZABETH JOY LEIF
Counselor
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (916) 502-3766
MR. JOHN THOMAS KONIECZNY III RN, BSN, CEN
Student in an Organized Health Care Education/Training Program
5998 ALCALA PARK
SAN DIEGO, CA 92110
San Diego County (619) 260-4548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenna Memole's NPI number?

The NPI number for Brenna Memole is 1437698677. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Brenna Memole located?

Brenna Memole practices at 5998 Alcala Park Student Health Center, Maher Hall 140, San Diego, CA 92110. The listed phone number is (619) 260-4595.

What is Brenna Memole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Brenna Memole was last updated on March 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.