JEANETTA MARIE BROADWAY
NPI 1295136224
Driver in Memphis, TN
About Jeanetta Marie Broadway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANETTA MARIE BROADWAY (NPI 1295136224) is an individual driver provider in Memphis, Tennessee and active in the NPI registry since September 2014.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeanetta Broadway's NPI number?
The NPI number for Jeanetta Broadway is 1295136224. It was assigned to this individual provider in the NPPES registry on September 9, 2014.
Where is Jeanetta Broadway located?
Jeanetta Broadway practices at 4014 Autumn Springs Cv, Memphis, TN 38125. The listed phone number is (901) 279-5289.
What is Jeanetta Broadway's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Jeanetta Broadway was last updated on September 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeanetta Marie Broadway · NPI 1295136224
Driver provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since September 9, 2014.
## Identity
- **NPI:** 1295136224 (Entity type: Individual)
- **Enumerated:** September 9, 2014
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4014 AUTUMN SPRINGS CV, Memphis, TN 38125-2647
- **Phone:** (901) 279-5289
## Record status
- **NPPES last updated:** September 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1295136224) · Data from the CMS NPPES public registry.