Individual
JESSICA M BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1535 HIGHLANDS DR STE 300, LITITZ, PA 17543-7681
(717) 625-3509
(717) 625-4258
Mailing address
1535 HIGHLANDS DR STE 300, LITITZ, PA 17543-7681
(717) 625-3509
(717) 625-4258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015064
PA
Other
Enumeration date
08/24/2015
Last updated
01/26/2021
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