Individual provider · Type 1 NPI

Jodi Bruggeman

Licensed Practical Nurse · Fargo, ND

NPI number 1407671233 Active

Practice location

2101 Elm St N
Fargo, ND 58102-2417

Call (701) 335-4380 Map

Fax (701) 772-0324

Mailing address

545 5th Ave SE
East Grand Forks, MN 56721-2157

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL11190 (ND)

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 1407671233

Jodi Bruggeman's National Provider Identifier is 1407671233, issued on Nov 18, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fargo, ND. The record was last updated on Nov 18, 2024.