Individual
JACQUELINE JILL BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 BRECKENRIDGE ST STE 401, OWENSBORO, KY 42303-0878
(270) 688-4401
(270) 688-4409
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008949
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201267100
—
IN
05
—
7100325900
—
KY
Enumeration date
10/10/2014
Last updated
09/16/2022
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