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Kendra Broussard, WHNP,AGPCNP,RN
Nurse Practitioner in Plymouth, Massachusetts
NPI 1730558313

Kendra Broussard is a Nurse Practitioner based in Boston, MA. Kendra Broussard practices in Plymouth, MA and has the professional credentials of WHNP,AGPCNP,RN. The NPI Number for Kendra Broussard is 1730558313 and holds a License No. 2292034 (Massachusetts).

The current practice location address for Kendra Broussard is 101 Court St Ste 8, Plymouth, MA and can be reached out via phone at 508-732-7327.

Location: 101 Court St Ste 8, Plymouth, MA, 02125-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730558313
Provider Name
Kendra Broussard
Credential
WHNP,AGPCNP,RN
Provider Entity Type
Individual
Gender
Female
Address
101 Court St Ste 8, Plymouth, MA, 02125-1439
Phone Number
508-732-7327
Fax Number
Provider Enumeration Date
09/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Court St Ste 8
City
Plymouth
State
Massachusetts
Zip
02360-8718
Phone Number
508-732-7327
Fax Number
person
Provider Business Mailing Address Details
Address
101 Court St Ste 8
City
Plymouth
State
Massachusetts
Zip
02360-8718
Phone Number
508-732-7327
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2292034 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2292034 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
2292034 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
2292034 (Massachusetts)
Definition
Definition to come...
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