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

MS. Holli Jean Brousseau, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1225434558

MS. Holli Jean Brousseau, NURSEPRACTITIONER is a Nurse Practitioner in Providence, Rhode Island. Qualified in 1993, 33 years ago. Practices with Prospect Chartercare Physicians LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
33
Licensed in
RI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
Fax: (401) 861-9596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN01223 (RI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 37937 (RI)

Record details

NPI number1225434558
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedNovember 13, 2014
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Prospect Chartercare Physicians Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence