Jessica Braswell I, is a
Counselor - Addiction (substance Use Disorder) based in Soorro, New Mexico. Jessica Braswell I is licensed to practice in New Mexico (license number 0171871) and her current practice location is
1200 Us-60, Soorro, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 835-2444.
NPI number for Jessica Braswell I is 1114391273 and her current mailing address is 1200 Us-60, Soorro, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114391273.
Healthcare Provider's Profile
| Full Name | Jessica Braswell I |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1200 Us-60, Soorro, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114391273
- Provider Enumeration Date: 11/30/2015
- Last Update Date: 11/30/2015
Medical Identifiers
Medical identifiers for Jessica Braswell I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114391273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0171871 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Braswell I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jessica Braswell I, 1200 Us-60, Soorro, NM 87801 Ph: (575) 835-2444 | Jessica Braswell I, 1200 Us-60, Soorro, NM 87801 Ph: (575) 835-2444 |
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