Individual
MRS. JACQUELYN BRUNER RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4711 POPLAR SPRINGS DR, MERIDIAN, MS 39305-2622
(601) 485-7777
(601) 485-7766
Mailing address
365 ROLLINGWOOD DR, MERIDIAN, MS 39305-8916
(832) 687-2518
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
902970
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
902970
MS
Other
Enumeration date
10/10/2018
Last updated
06/10/2025
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