Individual
JESSE BRUTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
5931 CROSSLAKE PKWY, WACO, TX 76712-6986
(254) 870-4874
(254) 301-7627
Mailing address
5931 CROSSLAKE PKWY, WACO, TX 76712-6986
(254) 870-4874
(254) 301-7627
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1003730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003730
TEXAS BOARD OF NURSING
TX
Enumeration date
05/20/2021
Last updated
12/29/2025
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