Individual provider · Type 1 NPI
Teresa Lynn Broussard
Licensed Practical Nurse · Kimball, NE
NPI number
1962357905
Active
Practice location
204 N Elm St
Kimball, NE 69145-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 15769 (NE) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1962357905
Teresa Lynn Broussard's National Provider Identifier is 1962357905, issued on Mar 4, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kimball, NE. The record was last updated on Mar 4, 2026.