Individual
JULIA S BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
971 LAKELAND DR STE 557, JACKSON, MS 39216-4661
(601) 200-4560
Mailing address
PO BOX 23457, JACKSON, MS 39225-3457
(601) 200-3631
(601) 200-0166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853531
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07089078
—
MS
01
—
489365YKHV
MEDICARE
MS
01
—
P01752559
RAILROAD MEDICARE
MS
Enumeration date
10/03/2007
Last updated
02/25/2025
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