Whalio Doctors

NPI 1114763430

Jackie Anne Bruss

Practitioner Licensed Practical Nurse Plainview, MN

Practice location

Address
125 2nd Ave NW, Plainview, MN 55964-1222
Phone
(507) 951-3830
Mailing address
64751 141st Ave, Wabasha, MN 55981-7592

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 623212 (MN)

Registry record

NPI
1114763430
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Jul 2024
Record last updated
5 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.