MS. JENNIFER LYNN BROSSEAU (NPI# 1366071615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366071615 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN BROSSEAU |
| Credential | APRN |
| Practice Address |
1515 Sw Archer Rd Gainesville FL 32608-1134 |
| Mailing Address |
1149 Newell Drive, L3-120 Po Box 100129 Gainesville FL 32610-0129 |
| Practice Telephone | 3522735550 |
| Mailing Telephone | 3522735550 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9296486 | FL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APRN11005176 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1515 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871657221 | Arturo Gilberto Torres | Anesthesiology | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2006-12-20 |
| 1417556184 | Victoria Hilton | Registered Nurse | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-10-22 |
| 1467050120 | Edwin Villert | Physician Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-10-15 |
| 1093327942 | Morgan Landis | Anesthesiologist Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-21 |
| 1841802956 | Adam Eugene Chartrand | Anesthesiologist Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-19 |
| 1053923227 | Kristina Horstman | Dietitian, Registered | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-19 |
| 1609487883 | Jasmin Marcelle Tawfic | Pharmacist | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-08-12 |
| 1902420037 | Susan Huang | Physician Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-06-04 |
| 1801410212 | Tiffany Lynn Eisenbach | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-06-01 |
| 1114548906 | Peter Michael Vonu | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2020-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412242 | Candace K Hall | Nurse Practitioner | 6810 Mandalay Ct, Gainesville, VA 20155-4493 | 2020-06-22 |
| 1164072591 | Mary Katherine Bridges | Nurse Practitioner | 316 Foothills Pkwy Ne, Gainesville, GA 30501-3839 | 2019-09-17 |
| 1124676622 | Desislava Cooper | Nurse Practitioner | 1143 Nw 89th Dr, Gainesville, FL 32606-7116 | 2019-08-28 |
| 1053883223 | Lisa Annette Wisemen | Nurse Practitioner | 3611 Sw 34th St Apt 46, Gainesville, FL 32608-2577 | 2018-12-27 |
| 1235600362 | Marie Lyse Dufresne-dixon | Nurse Practitioner | 1515 Sw Archer Rd Apt C27, Gainesville, FL 32608-1134 | 2018-12-16 |
| 1427551506 | Melinda Holder Phillips | Nurse Practitioner | 1600sw Archer Rd, Gainesville, FL 32610-0001 | 2018-03-14 |
| 1669992921 | Amanda Kaye Elizabeth Croft | Nurse Practitioner | Po Box 100186, Gainesville, FL 32610-0186 | 2017-06-27 |
| 1033642210 | Dironada Gross Strange | Nurse Practitioner | Po Box 100108, Gainesville, FL 32610-0001 | 2017-04-05 |
| 1124565031 | Shannon Eileen Katilus Makovic | Nurse Practitioner | Department of Pediatrics Neonatology, Box 100296, Gainesville, FL 32610-0296 | 2017-01-30 |
| 1770997306 | Jordan Knowlton | Nurse Practitioner | 1600 Sw Archer Rd # 100371, Gainesville, FL 32610-3003 | 2014-06-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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| 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.