Individual
VALERIE BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
R886302
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03780785
—
MS
Enumeration date
07/27/2015
Last updated
10/14/2015
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