Individual
CHELSEA BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
2340 PATRICK HENRY PKWY STE 200, MCDONOUGH, GA 30253-4216
(770) 507-8481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
904076
MS
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP000944
GA
Other
Enumeration date
08/10/2017
Last updated
09/21/2022
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