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Charles Allen Bruce, FNP-C
Family Nurse Practitioner in Sumrall, Mississippi
NPI 1740646421

Charles Allen Bruce is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Charles Allen Bruce practices in Sumrall, MS and has the professional credentials of FNP-C. The NPI Number for Charles Allen Bruce is 1740646421 and holds a License No. 901427 (Mississippi).

The current practice location address for Charles Allen Bruce is 1238 Highway 42, Sumrall, MS and can be reached out via phone at 601-758-3100 and via fax at 601-758-3060.

Location: 1238 Highway 42, Sumrall, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740646421
Provider Name
Charles Allen Bruce
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1238 Highway 42, Sumrall, MS, 39401-7246
Phone Number
601-758-3100
Fax Number
601-758-3060
Provider Enumeration Date
01/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09931583 05 MS
institution
Provider Business Practice Location Address Details
Address
1238 Highway 42
City
Sumrall
State
Mississippi
Zip
39482-9519
Phone Number
601-758-3100
Fax Number
601-758-3060
person
Provider Business Mailing Address Details
Address
1238 Highway 42
City
Sumrall
State
Mississippi
Zip
39482-9519
Phone Number
601-758-3100
Fax Number
601-758-3060
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
901427 (Mississippi)
Definition
Definition to come...
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