Individual provider · Type 1 NPI

Charles Allen Bruce, FNP-C

Family Nurse Practitioner · Sumrall, MS

NPI number 1740646421 Active

Practice location

1238 Highway 42
Sumrall, MS 39482-9519

Fax (601) 758-3060

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X901427 (MS)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1740646421

Charles Allen Bruce, FNP-C's National Provider Identifier is 1740646421, issued on Jan 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sumrall, MS. The record was last updated on Jul 24, 2020.