JESSICA BROUSSARD R. EPT, CNIM – NPI #1306395462
Specialist/Technologist, Other

JESSICA BROUSSARD is a technologist located in RICHARDSON, TX. NPPES has assigned the NPI number 1306395462 to JESSICA BROUSSARD on September 29, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was previously updated about 3 years ago on Mar 08, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA BROUSSARD below.

NPI Profile for
JESSICA BROUSSARD

NPI Number
1306395462
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA BROUSSARD
Credentials
R. EPT, CNIM
Primary location
1819 JAY ELL DR
RICHARDSON, TX 75081-2063
Phone: (888) 344-2947 Fax: (888) 694-2947
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Mar 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.