JACQUELINE JILL BRAUN APRN NPI 1487058079

NPI Information

NPI: 1487058079
Provider Name: JACQUELINE JILL BRAUN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OWENSBORO HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1000 BRECKENRIDGE ST STE 401
OWENSBORO, KY
ZIP 42303
Phone: (270) 688-4401
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Jacqueline Jill Braun, APRN is a family nurse practitioner in Owensboro, KY with 10 years of experience. Jacqueline Jill Braun, APRN NPI is 1487058079. 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:

1000 BRECKENRIDGE ST STE 401
OWENSBORO, KY
ZIP 42303-878
Phone: (270) 688-4401
Fax: (270) 688-4409

The NPI 1487058079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2014 and was last updated on 5/22/2020.

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	363LF0000X	Nurse Practitioner	Family	3008949	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201267100	MEDICAID	INDIANA
2	7100325900	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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