JANAE BROUSSARD LPN
NPI 1669242392
Licensed Practical Nurse in Las Vegas, NV

Active since January 04, 2024
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119(702) 463-0300 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Janae Broussard Lpn NPPES

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

JANAE BROUSSARD LPN (NPI 1669242392) is an individual licensed practical nurse in Las Vegas, Nevada, licensed in Nevada (864782) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1669242392
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJANAE BROUSSARDCredential: LPN
Location Address4040 S EASTERN AVE STE 300Las Vegas, NV 89119-0854
Mailing Address8450 W Charleston Blvd Apt 1055Las Vegas, NV 89117-9012 · (916) 504-8590
Sole ProprietorNo
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
NPI 1669242392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NV · 864782
Definition
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.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 718903 (CA)
4040 S EASTERN AVE STE 300, Las Vegas, NV 89119

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.

Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Registered Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Registered Nurse (Home Health)
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Registered Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Licensed Practical Nurse
4040 S EASTERN AVE STE 300
LAS VEGAS, NV 89119

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 Janae Broussard's NPI number?

The NPI number for Janae Broussard is 1669242392. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Janae Broussard located?

Janae Broussard practices at 4040 S Eastern Ave Ste 300, Las Vegas, NV 89119. The listed phone number is (702) 463-0300.

What is Janae Broussard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Janae Broussard was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.