Teresa Lynn Broussard, is a
Licensed Practical Nurse based in Kimball, Nebraska. Teresa Lynn Broussard is licensed to practice in Nebraska (license number 15769) and her current practice location is
204 N Elm St, Kimball, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(308) 235-5492.
NPI number for Teresa Lynn Broussard is 1962357905 and her current mailing address is 204 N Elm St, Kimball, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962357905.
Provider's Profile
| Full Name | Teresa Lynn Broussard |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 204 N Elm St, Kimball, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962357905
- Provider Enumeration Date: 03/04/2026
- Last Update Date: 03/04/2026
Medical Identifiers
Medical identifiers for Teresa Lynn Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962357905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 15769 (Nebraska) | 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. Teresa Lynn Broussard 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 |
Teresa Lynn Broussard, 204 N Elm St, Kimball, NE 69145-1008 Ph: (308) 235-5492 | Teresa Lynn Broussard, 204 N Elm St, Kimball, NE 69145-1008 Ph: (308) 235-5492 |
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