Individual
JANICE L BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8392
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8392
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3003537
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71001473A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056294
ANTHEM GROUP #
—
01
—
000000303817
ANTHEM
—
01
—
100386460
INDIANA MEDICAID GROUP
IN
01
—
1487872636
NPI GROUP NUMBER (ARNP)
—
01
—
160780
MEDICARE GROUP
IN
01
—
160860
MEDICARE GROUP
IN
05
—
200298400A
—
IN
01
—
2444451000
PASSPORT GROUP
KY
01
—
2444453000
PASSPORT ADVANTAGE
KY
01
—
50704000
MAGELLAN GROUP MIS
—
01
—
580397000
MAGELLEN MIS #
—
05
—
65927857
—
KY
01
—
6764
MEDICARE GROUP
KY
05
—
78009404
—
KY
05
—
78903689
—
KY
05
—
82900176
—
KY
01
—
CG2274
MEDICARE RAILROAD GROUP
IN
01
—
CK2274
RAILROAD MEDICARE GROUP
KY
01
—
P00065495
MEDICARE RAILROD
KY
01
—
P00455002
RAILROAD MEDICARE
IN
Enumeration date
05/23/2005
Last updated
08/15/2015
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