JEANETTA MARIE BROADWAY NPI 1295136224

NPI Information

NPI: 1295136224
Provider Name: JEANETTA MARIE BROADWAY
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
4014 AUTUMN SPRINGS CV
MEMPHIS, TN
ZIP 38125
Phone: (901) 279-5289
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Jeanetta Marie Broadway is a driver in Memphis, TN. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Jeanetta Marie Broadway NPI is 1295136224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4014 AUTUMN SPRINGS CV
MEMPHIS, TN
ZIP 38125-647
Phone: (901) 279-5289

The enumeration date for this NPI number is 9/9/2014 and was last updated on 9/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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