| Jennifer Alison Broussard, NP | |
|
211 Goose Hollow Rd, Reynolds, GA 31076-3505 | |
| (478) 216-1110 | |
| Not Available |
| Full Name | Jennifer Alison Broussard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 211 Goose Hollow Rd, Reynolds, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255852851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN204586 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN204586 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Houston County Emergency Group, Llc | 2264663756 | 35 |
| Entity Name | Taylor Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720189517 PECOS PAC ID: 6800795154 Enrollment ID: O20040426000736 |
| Entity Name | Tlc Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Entity Name | Urgent Care Center Of Central Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306241336 PECOS PAC ID: 2466752993 Enrollment ID: O20151204001229 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Alison Broussard, NP 211 Goose Hollow Rd, Reynolds, GA 31076-3505 Ph: (478) 216-1110 | Jennifer Alison Broussard, NP 211 Goose Hollow Rd, Reynolds, GA 31076-3505 Ph: (478) 216-1110 |
Brandi Dawn Rodriguez, NP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2319 Roberta Hwy, Reynolds, GA 31076 Phone: 478-737-4085 | |
Mr. Randall Colby Nelson, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57 Martin Luther King Dr, Reynolds, GA 31076 Phone: 478-825-3317 Fax: 478-825-5499 |