Jean Yevonne Brazell

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

145910 Issued in NC

Practice address

1722 Tagaytay Street
Fort Liberty, NC 28310-0001

Phone

(910) 907-9054

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1407674815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRIT T AVENUE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 TAGAYTAY STREET",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELL",
        "first_name": "JEAN",
        "middle_name": "YEVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "145910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Y Bogiel, D.O.
• John Francis Bonnes Jr., D.O.
• Heidy Borges
• Joseph Bott, DO
• Ronald Glenn Braun, DC
• Joel Davis Britton, LMFT
• Cecelia O'Leary Brown, MD
• Jennifer Brown, MD
• Robert Louis Brown Jr., PTA
• Travis O Bruce, M.D.

• Case Management Registered Nurse in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.