Jaime Brousseau, RN
Individual provider Active NPI Registered Nurse · Seabrook, TX
NPI 1962042804 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1962042804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 782684 (TX)
- Practice address
- 3101 Nasa Pkwy Ste B
Seabrook, TX 77586-6475 - Phone
- (832) 868-1909
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 782684 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 782684 | TX | Yes |
Addresses
Primary practice location
3101 Nasa Pkwy Ste B
Seabrook, TX 77586-6475
Mailing address
3101 Nasa Pkwy Ste B
Seabrook, TX 77586-6475
Phone (832) 868-1909
Other providers in Seabrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.