Brasuell, Jennifer Love

Brasuell, Jennifer Love is an individual health care provider with primary practice located at 79630 Highway 21 , Bush LA 70431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brasuell, Jennifer Love can be contacted via phone (985) 730-2252.

Contact Information

Primary practice address
79630 Highway 21 Bush LA 70431
Phone: (985) 730-2252
Fax: (985) 730-2258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.TPA.642 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200233 Louisiana

Profile Details

NPI number 1831342187
LBN Legal business name Brasuell, Jennifer Love
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2008
Last updated Mar 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831342187 NPPES
Louisiana MEDICAID 2163892

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