Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shana Marie Broussard

Family Nurse Practitioner in Vancleave, MS · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134740798

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Registry record

Entity type Individual (Type 1)

Name Shana Marie Broussard

Sex Female

Practice address 10404 Tucker Rd # LLC, Vancleave, MS, 39565

Phone (228) 354-9505

Enumeration date May 5, 2020

Last updated in NPPES Jun 24, 2020

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 903748 (MS) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shana Broussard?

The National Provider Identifier (NPI) for Shana Broussard is 1134740798, a Type 1 (individual) record in the CMS NPPES registry.

Where does Shana Broussard practice?

The practice location on file with NPPES is in Vancleave, MS. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-24.