TERESA LYNN BROUSSARD NPI 1962357905

NPI Information

  • NPI: 1962357905
  • Provider Name: TERESA LYNN BROUSSARD
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 204 N ELM ST
    KIMBALL, NE
    ZIP 69145
  • Phone: (308) 235-5492

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NPI Details

Teresa Lynn Broussard is a licensed practical nurse in Kimball, NE. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Teresa Lynn Broussard NPI is 1962357905. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

204 N ELM ST
KIMBALL, NE
ZIP 69145-008
Phone: (308) 235-5492

The enumeration date for this NPI number is 3/4/2026 and was last updated on 3/4/2026.

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
1164W00000XLicensed Practical Nurse15769NEBRASKAYes

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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