Individual
JENNIFER MARIE BRAZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1020 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-4471
(830) 990-4453
(830) 990-7917
Mailing address
205 W WINDCREST ST, STE 100, FREDERICKSBURG, TX 78624-4479
(830) 990-4963
(830) 990-1892
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
673379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282253801
—
TX
01
—
833N84
BCBS
TX
Enumeration date
10/09/2007
Last updated
09/21/2015
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