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Chrisenie Brusha Bass, APRN
Family Nurse Practitioner in Chipley, Florida
NPI 1114780004

Chrisenie Brusha Bass is a Family Nurse Practitioner based in Midland City, FL and is specialized in Family. Chrisenie Brusha Bass practices in Chipley, FL and has the professional credentials of APRN. The NPI Number for Chrisenie Brusha Bass is 1114780004 and holds a License No. 11030993 (Florida).

The current practice location address for Chrisenie Brusha Bass is 1360 Brickyard Rd, Chipley, FL and can be reached out via phone at 850-638-1610.

Location: 1360 Brickyard Rd, Chipley, FL, 36350-7042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114780004
Provider Name
Chrisenie Brusha Bass
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1360 Brickyard Rd, Chipley, FL, 36350-7042
Phone Number
850-638-1610
Fax Number
Provider Enumeration Date
02/02/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1360 Brickyard Rd
City
Chipley
State
Florida
Zip
32428-6303
Phone Number
850-638-1610
Fax Number
person
Provider Business Mailing Address Details
Address
1360 Brickyard Rd
City
Chipley
State
Florida
Zip
32428-6303
Phone Number
850-638-1610
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11030993 (Florida)
Definition
Definition to come...
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