Doctor Name: | MRS. JAMIE MARIE BRUMMOND |
NPI Number: | 1760706329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | F-118308 |
Business Practice Address: | 513 S Muckey St Burgess Family Clinics Mapleton, IA - 510341055 |
Business Phone Number: | 7128822234 |
Business Fax Number: | 7128222605 |
Mailing Address: | 513 S Muckey St, Burgess Family Clinics MAPLETON |
State: | IA |
Postal Code: | 510341055 |
Phone Number: | 7128822234 |
Fax Number: | 7128222605 |
NPI Enumeration Date: | 03/24/2010 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | F-118308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |