Individual provider · Type 1 NPI

Jackie Anne Bruss

Licensed Practical Nurse · Plainview, MN

NPI number 1114763430 Active

Practice location

125 2nd Ave NW
Plainview, MN 55964-1222

Mailing address

64751 141st Ave
Wabasha, MN 55981-7592

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X623212 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114763430

Jackie Anne Bruss's National Provider Identifier is 1114763430, issued on Jul 5, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plainview, MN. The record was last updated on Jul 5, 2024.