Individual
JAMIE L BRUNICARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
30 E APPLE ST, 2200 & 5253, DAYTON, OH 45409-2939
(937) 245-7200
Mailing address
725 UNIVERSITY BLVD, FAIRBORN, OH 45324-2640
(937) 245-7200
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0316619
OH
Other
Enumeration date
03/24/2016
Last updated
11/10/2016
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