JACQUILYN BRAZDA NPI 1134529811

NPI Information

  • NPI: 1134529811
  • Provider Name: JACQUILYN BRAZDA
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 18480 CHICAGO CT APT 203
    ELKHORN, NE
    ZIP 68022
  • Phone: (402) 443-6370

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NPI Details

Jacquilyn Brazda is a student in an organized health care education training program in Elkhorn, NE. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacquilyn Brazda NPI is 1134529811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18480 CHICAGO CT APT 203
ELKHORN, NE
ZIP 68022-937
Phone: (402) 443-6370

The enumeration date for this NPI number is 8/29/2014 and was last updated on 8/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerNo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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