JENNIFER R BROSHEARS (NPI# 1164805024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164805024 |
| Entity Type | Individual |
| Full Name | JENNIFER R BROSHEARS |
| Credential | FNP |
| Practice Address |
12067 Spurgeon Rd Lynnville IN 47619-8015 |
| Mailing Address |
Po Box 13059 Belfast ME 04915-4021 |
| Practice Telephone | 8129225568 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1079020 | KY | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 71005755A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005755A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12067 SPURGEON RD |
| City | LYNNVILLE |
| State | IN |
| Zip Code | 47619-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741245 | Steven C Barnett | Family Medicine | 12067 Spurgeon Rd, Lynnville, IN 47619-8015 | 2005-06-24 |
| 1598000788 | Cassandra L Heile | Nurse Practitioner | 12067 Spurgeon Rd, Lynnville, IN 47619-8015 | 2012-11-29 |
| 1417007964 | Steven Barnett, Md Family Practice | Family Medicine | 12067 Spurgeon Rd, Lynnville, IN 47619-8015 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558520403 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 144 Maple St, Lynnville, IN 47619 | 2008-06-05 |
| 1801845847 | Transitional Services, Inc | Intermediate Care Facility, Mentally Retarded | 144 Maple St, Lynnville, IN 47619-2024 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884116 | Nicole Singleton | Specialist/Technologist | 15480 Columbia Hwy, Lynnville, TN 38472-5225 | 2018-09-12 |
| 1922216142 | Nathan Paul Kersey | Physician Assistant | 1174 Screamer Rd, Lynnville, TN 38472-8153 | 2007-05-20 |
| 1972661544 | Elizabeth Marie Louie | Internal Medicine | 181 Mill St, Lynnville, TN 38472-3138 | 2006-12-05 |
| 1548336084 | Grinnell Regional Medical Center | Family Medicine | 303 East Street, Lynnville, IA 50153 | 2006-11-27 |
| 1487742938 | Louis A Shone IIi | Nurse Practitioner | 181 Mill Street, Lynnville, TN 38472 | 2006-10-10 |
| 1801845847 | Transitional Services, Inc | Intermediate Care Facility, Mentally Retarded | 144 Maple St, Lynnville, IN 47619-2024 | 2006-05-08 |
| 1720597305 | Mary Ray | Nurse Practitioner | 181 Mill St, Lynnville, TN 38472-3138 | 2017-09-26 |
| 1255793584 | Lynnville Family Medical | Clinic/Center | 181 Mill St, Lynnville, TN 38472-3138 | 2016-03-25 |
| 1730548983 | L;ynnville Family Medical Clinic | Clinic/Center | 181 Mill St, Lynnville, TN 38472-3138 | 2016-02-16 |
| 1669711925 | Brienna M Cameron | Pain Medicine | 303 East St, Lynnville, IA 50153-7719 | 2013-02-06 |
| Find all providers in LYNNVILLE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487742938 | Louis A Shone IIi | Nurse Practitioner | 181 Mill Street, Lynnville, TN 38472 | 2006-10-10 |
| 1720597305 | Mary Ray | Nurse Practitioner | 181 Mill St, Lynnville, TN 38472-3138 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER R BROSHEARS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.