Individual
JAIMIE N BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-5911
(270) 417-6497
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3630
KY
363A00000X
Physician Assistant
TC003
KY
Other
Enumeration date
12/03/2024
Last updated
02/12/2026
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