MS. LISA MARIE BRUNS NPI 1720840945

NPI Information

NPI: 1720840945
Provider Name: MS. LISA MARIE BRUNS
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1125 MADISON ST
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 632-5000
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MS. Lisa Marie Bruns is an adult health nurse practitioner in Jefferson City, MO. MS. Lisa Marie Bruns NPI is 1720840945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1125 MADISON ST
JEFFERSON CITY, MO
ZIP 65101-227
Phone: (573) 632-5000

The NPI 1720840945 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2024 and was last updated on 2/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	2024004467	MISSOURI	No
2	363LA2200X	Nurse Practitioner	Adult Health	2024004467	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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