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General NPI Number Information
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NPI Number | 1720275753
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Entity Type | Individual
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Provider Name | JULIA S BRUCE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 971 LAKELAND DR STE 557
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City | JACKSON
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State | MS
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Zip | 39216-4661
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Country | US
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Telephone | 601-200-4560
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23457
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City | JACKSON
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State | MS
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Zip | 39225-3457
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Country | US
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Telephone | 601-200-3631
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Fax | 601-200-0166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R853531
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License Number State | MS
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