person
Janessa Marie Broussard
Primary Care Nurse Practitioner in San Francisco, California
NPI 1285159871

Janessa Marie Broussard is a Primary Care Nurse Practitioner based in San Francisco, CA and is specialized in Primary Care. Janessa Marie Broussard practices in San Francisco, CA. The NPI Number for Janessa Marie Broussard is 1285159871 and holds a License No. 95007103 (California).

The current practice location address for Janessa Marie Broussard is 470 Castro St, San Francisco, CA and can be reached out via phone at 415-581-1600 and via fax at 415-581-1610.

Location: 470 Castro St, San Francisco, CA, 94114-2482
person
Provider Profile Details
NPI Number
1285159871
Provider Name
Janessa Marie Broussard
Credential
Provider Entity Type
Individual
Gender
Female
Address
470 Castro St, San Francisco, CA, 94114-2482
Phone Number
415-581-1600
Fax Number
415-581-1610
Provider Enumeration Date
08/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95007103 01 CA NP LICENSE
institution
Provider Business Practice Location Address Details
Address
470 Castro St
City
State
Zip
94114-2482
Phone Number
415-581-1600
Fax Number
415-581-1610
person
Provider Business Mailing Address Details
Address
470 Castro St
City
State
Zip
94114-2482
Phone Number
415-581-1600
Fax Number
415-581-1610
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
95007103 (California)
Definition
Definition to come...
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