National Provider Identifier
Jessica Lea Brossard, LPN
Jessica Lea Brossard, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Depew, NY and a listed phone number of (716) 844-1297.
Profile Overview
- NPI
- 1740747963
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 24, 2019
- Last Updated
- February 24, 2019
Practice Location
- 68 Sebring Dr
- Depew, NY 14043-4740
Phone: (716) 844-1297
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1740747963
- Entity Type
- Individual
- Last Name
- Brossard
- First Name
- Jessica
- Middle Name
- Lea
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Appenheimer
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Lea
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 68 Sebring Dr
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-4740
- Mailing Country
- US
- Mailing Phone
- (716) 844-1297
- Practice Street Address
- 68 Sebring Dr
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4740
- Practice Country
- US
- Practice Phone
- (716) 844-1297
- Enumeration Date
- February 24, 2019
- Last Updated
- February 24, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)