Individual
JESSICA LEE TOMLIN BRUNFELT
Active
Individual
JESSICA LEE TOMLIN BRUNFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R 147155-7
MN
363LF0000X
Family Nurse Practitioner
Primary
R 147155-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-06279
MEDICA PRIMARY
MN
01
—
01-19710
MEDICA CHOICE
MN
01
—
0590695
IA MA
IA
01
—
1042813
PREFERRED ONE
MN
01
—
132544
UCARE
MN
01
—
2293216
ARAZ
MN
05
—
403132600
—
MN
05
—
41254200
—
WI
05
—
4304547
—
MT
01
—
459R7TO
BCBS
MN
01
—
HP48876
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
05/12/2014
Update your record
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