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Jason Bruno, NP
Family Nurse Practitioner in Michigan City, Indiana
NPI 1780145904

Jason Bruno is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Jason Bruno practices in Michigan City, IN and has the professional credentials of NP. The NPI Number for Jason Bruno is 1780145904 and holds a License No. 28235051A (Indiana).

The current practice location address for Jason Bruno is 4111 Franklin St, Michigan City, IN and can be reached out via phone at 219-873-2919 and via fax at 219-873-2909.

Location: 4111 Franklin St, Michigan City, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780145904
Provider Name
Jason Bruno
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
4111 Franklin St, Michigan City, IN, 48278-1076
Phone Number
219-873-2919
Fax Number
219-873-2909
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
471400568 01 IN MEDICARE
300025272 05 IN
institution
Provider Business Practice Location Address Details
Address
4111 Franklin St
City
Michigan City
State
Indiana
Zip
46360-7803
Phone Number
219-873-2919
Fax Number
219-873-2909
person
Provider Business Mailing Address Details
Address
4111 Franklin St
City
Michigan City
State
Indiana
Zip
46360-7803
Phone Number
219-873-2919
Fax Number
219-873-2909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28235051A (Indiana)
Definition
Definition to come...
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