MS. HOLLI JEAN BROUSSEAU


Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: 4014562000

MS. HOLLI JEAN BROUSSEAU (NPI# 1225434558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225434558
Entity Type Individual
Full Name MS. HOLLI JEAN BROUSSEAU
Credential NURSE PRACTITIONER
Practice Address 825 Chalkstone Ave
Providence
RI 02908-4728
Practice Telephone 4014562000
Practice Fax Number 4018619596
Mailing Telephone 4014562000
Mailing Fax Number 4018619596
Enumeration Date 2014-11-13
Last Update Date 2014-11-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
37937 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 825 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459263 Ritesh Rathore Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2005-07-07
1821698903 Afsana Jahan Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-28
1861090508 Anthony Joseph Paoletta Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-14
1255941720 Georgio Medawar Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1265042733 Jessica Khoury Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1215547617 Amy Remillard Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-31
1225647738 Abdallah Mohamed Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-30
1467061309 Catherine Ekladios Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1982213948 Jamal Al Ali Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1811506793 Sadollah Ghasempour Soleymani Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548771900 Horizon Wellness Clinic/Center 1339 Smith St, North Providence, RI 02908 2017-10-12
1477098069 Beth Perry Nurse Practitioner 830 Chalstone Ave., Providence, RI 02908 2017-01-05
1659788735 Brandi Kimble Podiatrist 825 Chalkstone Avenue, Providence, RI 02908 2014-07-21
1912253675 Roger Williams Medical Center Long Term Care Hospital 25 Chalkstone Ave, Providence, RI 02908 2012-07-31
1669768818 Elisa Semedo Physical Therapist 285 Promenade Street, Providence, RI 02908 2011-06-27
1255655502 Caregiver Homes of Rhode Island Inc. Custodial Care Facility 235 Promenade Street, Providence, RI 02908 2010-03-16
1487884987 Professional Ambulance LLC Ambulance 52 River Ave, Providence, RI 02908 2009-07-17
1609065804 Stephen W Davis Family Medicine 299 Promenade Street, Nhpri, Providence, RI 02908 2007-10-24
1205053899 John R Ricci Dentist 1252 Smith St, Providence, RI 02908 2007-04-18
1871718718 Brett C Auclaire Nurse Practitioner 40 Candace Street, Providence, RI 02908 2007-04-16
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699339721 Melissa Cardona Nurse Practitioner 164 Summit Ave Fl 2, Providence, RI 02906-2853 2019-04-24
1811499668 Allison Rosener Ford Nurse Practitioner Neuro-critical Care, 593 Eddy Street, Providence, RI 02903-4923 2018-03-07
1134657505 Emily Daniell Nurse Practitioner 830 Chalkstone Ave Fl 3e, Providence, RI 02908-4734 2017-05-31
1477098069 Beth Perry Nurse Practitioner 830 Chalstone Ave., Providence, RI 02908 2017-01-05
1477931913 Linda Otway Colvin Nurse Practitioner 16 Woodland Ter, Providence, RI 02906-5807 2015-05-17
1184031973 Anne Goldstein Silbert Nurse Practitioner 2 Dudley St Ste 360, Providence, RI 02905-3248 2014-07-14
1780299594 Bonnie Ann Blaney Nurse Practitioner 235 Plain St, Providence, RI 02905-3240 2020-09-09
1083255509 Beth Dufour Nurse Practitioner 593 Eddy St, Providence, RI 02903-4923 2019-10-06
1831743095 Tracy Lynn Carraggi Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2853 2019-07-26
1780248922 Audrey Ross Nurse Practitioner 593 Eddy St, Providence, RI 02903-4923 2019-04-23
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02908

Improve Information

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Dataset Information

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.

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