Jennifer Braxton-Brown

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010601 Issued in KY

Practice address

1 Medical Village Dr
Ste 258
Edgewood, KY 41017-3403

Phone

(859) 301-2211

Fax

(859) 301-2511

NPI assigned

Apr 14, 2014

Last updated

Nov 25, 2016By 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 3

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1730508128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY",
            "address_2": "CHAPEL PLACE B STE 220",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175100",
            "telephone_number": "859-301-2211",
            "fax_number": "859-301-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "address_2": "STE 258",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2211",
            "fax_number": "859-301-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON-BROWN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "366887",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010601",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1117832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric A Brandser, MD
• Daniel Todd Brannon, D.O.
• Mohan J.S. Brar, MD
• Danielle Brauning, APRN
• Joseph Javier Bravo, MD
• Lawrence V Brennan, MD
• Vail M Brennan, D.O.
• Elizabeth P Bridges, APRN
• Kim Michelle Bridges, MSNA
• Shawnee Brock, RBT

• Family Nurse Practitioner in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.