NPI 1114763430
Jackie Anne Bruss
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
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.