Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 01074432A | IN |
Y | 2084N0402X | Child Neurologist | MD52831 | TN |
NPI | 1154527760 |
---|---|
Provider Name | Dr. Jennifer Ann Brault |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 23/10/2020 |