person
Jessica Sophia Bronner, FNP-C
Family Nurse Practitioner in Michigan City, Indiana
NPI 1750651188

Jessica Sophia Bronner is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Jessica Sophia Bronner practices in Michigan City, IN and has the professional credentials of FNP-C. The NPI Number for Jessica Sophia Bronner is 1750651188 and holds a License No. 71003880A (Indiana).

The current practice location address for Jessica Sophia Bronner is 1225 E Coolspring Ave Ste 2B, Michigan City, IN and can be reached out via phone at 219-878-5029 and via fax at 219-878-8493. You can also correspond with Jessica Sophia Bronner through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 1225 E Coolspring Ave Ste 2B, Michigan City, IN, 48278-1076
person
Provider Profile Details
NPI Number
1750651188
Provider Name
Jessica Sophia Bronner
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1225 E Coolspring Ave Ste 2B, Michigan City, IN, 48278-1076
Phone Number
219-878-5029
Fax Number
219-878-8493
Provider Enumeration Date
01/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201068100 05 IN
institution
Provider Business Practice Location Address Details
Address
1225 E Coolspring Ave Ste 2B
City
State
Zip
46360-6312
Phone Number
219-878-5029
Fax Number
219-878-8493
person
Provider Business Mailing Address Details
Address
1225 E Coolspring Ave Ste 2B
City
State
Zip
46360-6312
Phone Number
219-878-5029
Fax Number
219-878-8493
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003880A (Indiana)
Definition
Definition to come...
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