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JESSICA BROUSSARD R. EPT, CNIM
NPI 1306395462
Specialist/Technologist, Other - Electroneurodiagnostic in Richardson, TX

Active since September 29, 2016
1819 JAY ELL DR, RICHARDSON, TX 75081(888) 344-2947(888) 694-2947 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2023, Apr 10, 2019, Sep 29, 2016 (3 updates tracked since 2016).

About Jessica Broussard R. Ept, Cnim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BROUSSARD R. EPT, CNIM (NPI 1306395462) is an individual electroneurodiagnostic provider in Richardson, Texas and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1306395462
Entity TypeIndividualFemale
Primary Taxonomy246ZE0600X
Provider Legal NameJESSICA BROUSSARDCredential: R. EPT, CNIM
Location Address1819 JAY ELL DRRichardson, TX 75081-2063
Mailing Address1819 Jay Ell DrRichardson, TX 75081-2063 · (888) 344-2947 · Fax (888) 694-2947
Phone(888) 344-2947
Fax(888) 694-2947
Sole ProprietorYes
Enumeration DateSeptember 29, 2016
Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1306395462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
1819 JAY ELL DR, Richardson, TX 75081
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAISAL RIAZ JAHANGIRI CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947
DYANNE L WELCH CNIM, REPT
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947
RUDY GARZA REPT
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947
KATHRYN M OVERZET CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947
MR. GEORGE W. WHITEHEAD IV CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947
MS. ELOISE CHRISTINE FAUST CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947
MR. JUSTIN BILL HAWKINS CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947
MR. JOSEPH L RAYMOND III CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1819 JAY ELL DR
RICHARDSON, TX 75081
Dallas County (888) 344-2947

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 Jessica Broussard's NPI number?

The NPI number for Jessica Broussard is 1306395462. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Jessica Broussard located?

Jessica Broussard practices at 1819 Jay Ell Dr, Richardson, TX 75081. The listed phone number is (888) 344-2947.

What is Jessica Broussard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Jessica Broussard was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.