Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Broussard, REPT, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1306395462

Jessica Broussard, REPT, CNIM is an Electroneurodiagnostic Specialist/Technologist in Richardson, Texas. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1819 Jay Ell Dr
Richardson, TX 75081-2063
Phone: (888) 344-2947
Fax: (888) 694-2947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1306395462
Entity typeIndividual (Type 1)
GenderFemale
Credentials REPT , CNIM
Sole proprietorYes
NPI enumeratedSeptember 29, 2016
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

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