Individual
MS. JACQUELYN J BRUGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1019 SOUTH 8TH STREET, ALBION, NE 68620-1760
(402) 395-5013
(402) 395-2327
Mailing address
PO BOX 151, ALBION, NE 68620-0151
(402) 395-3213
(402) 395-3173
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
413
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2510
MIDLANDS CHOICE
NE
Enumeration date
07/10/2006
Last updated
07/16/2020
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