Individual provider · Type 1 NPI

Lillian Jean Bruner, NP-C

Family Nurse Practitioner · Kirksville, MO

NPI number 1922570142 Active

Practice location

1611 S Baltimore St
Kirksville, MO 63501-4518

Call (660) 665-7575 Map

Fax (660) 665-7576

Mailing address

PO Box 1239
Hannibal, MO 63401-1239

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse	163WE0003X	129740 (IA)
Family Nurse Practitioner Primary	363LF0000X	2019001532 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1922570142

Lillian Jean Bruner, NP-C's National Provider Identifier is 1922570142, issued on Dec 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kirksville, MO. The record was last updated on Jan 17, 2019.