Provider Demographics
NPI:1407468689
Name:BRENSON, YASMEEN ANTHEANA-NESHAYGREEN
Entity Type:Individual
Prefix:MRS
First Name:YASMEEN
Middle Name:ANTHEANA-NESHAYGREEN
Last Name:BRENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:YASMEEN
Other - Middle Name:ANTHEANA NE SHAY
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36703-1705
Mailing Address - Country:US
Mailing Address - Phone:205-725-1884
Mailing Address - Fax:
Practice Address - Street 1:206 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36703-1705
Practice Address - Country:US
Practice Address - Phone:205-725-1884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program