Kendra Broussard
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
743 Spring St Ne
Gainesville
, Georgia 30501-3715
Kendra Broussard
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
743 Spring St Ne
Gainesville
, Georgia 30501-3715
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About
Features
Specialties
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Kendra Broussard
- 50 N Medical Dr Nicu
- Slc, UT
- Zip : 84132-1651
- Phone :
Second Address
- Kendra Broussard
- 743 Spring St Ne
- Gainesville, GA
- Zip : 30501-3715
- Fax : (770) 535-7092
- Phone : (770) 535-3611
Reviews
FAQs
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What type of doctor is Kendra Broussard
In what state does Kendra Broussard practice in?
Where is Kendra Broussard ’s practice located?
What is Kendra Broussard ’s gender?
Is Kendra Broussard a sole practitioner?
Is Kendra Broussard accepting new patients?
What languages does Kendra Broussard speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LN0000X | Nurse Practitioner - Neonatal | RN198466 | GA |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 8834868-4405 | UT |
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN198466 | GA |
National Provider Identifier
| NPI | 1346616604 |
|---|---|
| Provider Name | Kendra Broussard |
| First Address | Slc, UT 84132-1651 |
| Second Address | Gainesville, GA 30501-3715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2015 |
| Last Update Date | 01/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.