Individual
JENNA LEIGH BROSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2975 HIGHWAY 2 E, RUGBY, ND 58368-7801
(701) 776-5261
(701) 776-5448
Mailing address
2975 HIGHWAY 2 E, RUGBY, ND 58368-7801
(017) 765-2167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36696
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475154
—
ND
Enumeration date
06/27/2018
Last updated
03/14/2025
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