Individual provider · Type 1 NPI
Kendra Broussard, WHNP, AGPCNP, RN
Nurse Practitioner · Plymouth, MA
Practice location
101 Court St Ste 8
Plymouth, MA 02360-8718
Mailing address
36 Saxton St Unit 2
Boston, MA 02125-1439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2292034 (MA) |
| Gerontology Nurse Practitioner | 363LG0600X | 2292034 (MA) |
| Women's Health Nurse Practitioner | 363LW0102X | 2292034 (MA) |
| Nurse Practitioner Primary | 363L00000X | 2292034 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1730558313
Kendra Broussard, WHNP, AGPCNP, RN's National Provider Identifier is 1730558313, issued on Sep 24, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plymouth, MA. The record was last updated on Oct 1, 2018.