NPI age
8 years
Enumerated 2017-07-05
● Active
Type 1 · Individual
Jennifer Alison Broussard, NP
Broussard is 1 of 2 nurse practitioner providers in Reynolds and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-07Enumerated in NPPES
2017
2026
Where they practice
Practice location
211 Goose Hollow Rd
Reynolds, GA 310763505
Mailing address
211 Goose Hollow Rd
Reynolds, GA 310763505
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
5665 New Northside Dr Ste 200
Atlanta, GA 303284617
Location 3
200 Galleria Pkwy Se Ste 1300
Atlanta, GA 303395967
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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