Individual
JENNIFER BRAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
6750 CALUMET AVE, HAMMOND, IN 46324-1646
(219) 808-0311
(219) 803-0217
Mailing address
PO BOX 1154, CROWN POINT, IN 46308-1154
(219) 662-3931
(219) 663-6359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28179720A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
28179720A
IN
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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