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BRAKEISHA LASHAY BROUSSARD LVN
NPI 1710506498
Licensed Vocational Nurse in Lafayette, LA

Active since April 13, 2020
312 LISTON ST, LAFAYETTE, LA 70501(337) 565-9737 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brakeisha Lashay Broussard Lvn NPPES

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

BRAKEISHA LASHAY BROUSSARD LVN (NPI 1710506498) is an individual licensed vocational nurse in Lafayette, Louisiana, licensed in Texas (352464) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1710506498
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameBRAKEISHA LASHAY BROUSSARDCredential: LVN
Location Address312 LISTON STLafayette, LA 70501-1040
Mailing Address312 Liston StLafayette, LA 70501-1040 · (337) 565-9737
Phone(337) 565-9737
Sole ProprietorNo
Enumeration DateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1710506498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 352464
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
312 LISTON ST, Lafayette, LA 70501
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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 Brakeisha Broussard's NPI number?

The NPI number for Brakeisha Broussard is 1710506498. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Brakeisha Broussard located?

Brakeisha Broussard practices at 312 Liston St, Lafayette, LA 70501. The listed phone number is (337) 565-9737.

What is Brakeisha Broussard's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Brakeisha Broussard was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.