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

Nikki Ilona Broussard, CRNP

Individual provider Nephrology Physician · NPI 1043034580

Nikki Ilona Broussard, CRNP is a Nurse Practitioner in Dothan, Alabama. Qualified in 2023, 3 years ago. Practices with Dothan Hypertension Nephrology Associates, a 10-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2024
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

207 Haven Dr
Dothan, AL 36301-2919
Phone: (337) 793-3319
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 1-121127 (AL)

Record details

NPI number1043034580
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dothan Hypertension Nephrology Associates — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dothan