Individual provider · Type 1 NPI
Corrie Lynn Jasa-Bruder, APRN
Psychiatric/Mental Health Nurse Practitioner · Omaha, NE
NPI number
1194599894
Active
Practice location
7101 Newport Ave
Omaha, NE 68152-2164
Mailing address
2168 N Glennfield Way
Meridian, ID 83646-1282
Other practice locations
- 2168 N Glennfield Way, Meridian, ID 83646-1282 · (208) 615-0639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 78033 (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 115092 (NE) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194599894
Corrie Lynn Jasa-Bruder, APRN's National Provider Identifier is 1194599894, issued on Nov 13, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Omaha, NE. The record was last updated on Nov 29, 2023.