# DR. JADE BRUSSEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437526084
- **Gender:** Man
- **Credential:** DO, DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | DO-07094 | IA | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | DO.OP.70124763 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 08/31/2015
- **Last updated:** 07/20/2026
