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

Mrs. Jennie Tara Broadhurst, BADEGREE

Individual provider Case Manager/Care Coordinator · NPI 1114186996

Mrs. Jennie Tara Broadhurst, BADEGREE is a Case Manager/Care Coordinator in Thousand Oaks, California. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

72 Moody Ct
Thousand Oaks, CA 91360-6067
Phone: (805) 587-5328
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1114186996
Entity typeIndividual (Type 1)
GenderFemale
Credentials BADEGREE
Sole proprietorYes
NPI enumeratedJune 5, 2008
Last updated in NPPESJune 5, 2008

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