JARED BRABHAM NPI 1134763576

NPI Information

NPI: 1134763576
Provider Name: JARED BRABHAM
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2000 OPELOUSAS ST
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-9983
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Jared Brabham is a psychiatric/mental health nurse practitioner in Lake Charles, LA. Jared Brabham NPI is 1134763576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2000 OPELOUSAS ST
LAKE CHARLES, LA
ZIP 70601-641
Phone: (337) 439-9983

The enumeration date for this NPI number is 10/29/2019 and was last updated on 4/10/2024.

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
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN158835	LOUISIANA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	234094	LOUISIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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