Individual
JEAN BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WESLEY AVE, ATLANTIC HIGHLANDS, NJ 07716-1616
(732) 768-4680
Mailing address
101 WESLEY AVE, ATLANTIC HIGHLANDS, NJ 07716-1616
(732) 768-4680
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NO05062300
NJ
363LG0600X
Gerontology Nurse Practitioner
26NO05062300
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NO05062300
NJ
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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