Individual
JENNIFER R BROSHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12067 SPURGEON RD, LYNNVILLE, IN 47619-8015
(812) 922-5568
Mailing address
12067 SPURGEON RD, LYNNVILLE, IN 47619-8015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1079020
KY
363L00000X
Nurse Practitioner
71005755A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005755A
IN
Other
Enumeration date
07/09/2015
Last updated
06/02/2022
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