Provider Demographics
NPI:1851187017
Name:BRAUN, JACQUELINE M (BSN, RN)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:M
Last Name:BRAUN
Suffix:
Gender:
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 CREST BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-6184
Mailing Address - Country:US
Mailing Address - Phone:936-499-1145
Mailing Address - Fax:
Practice Address - Street 1:920 CREST BREEZE DR
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-6184
Practice Address - Country:US
Practice Address - Phone:936-499-1145
Practice Address - Fax:936-499-1145
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX731054163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care