Individual
MRS. KIMBERLY G. BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
244 BOND ST, JONESBORO, LA 71251-5334
(318) 259-1100
(318) 259-1333
Mailing address
PO BOX 70, HODGE, LA 71247-0070
(318) 259-1100
(318) 259-1333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-185698
AL
363LF0000X
Family Nurse Practitioner
Primary
107826-05919
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1807192
—
LA
Enumeration date
08/20/2009
Last updated
08/28/2023
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