MEDICARE: WESLEY B BRUCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	909661	MS

General Provider Information

NPI Number	:	1003773862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY B BRUCE

Provider Business Mailing Address
First Line	:	639 N MADISON ST
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38804-2015
Country	:	US
Telephone Number	:	662-523-5232
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 S GLOSTER ST
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-4934
Country	:	US
Telephone Number	:	662-377-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/06/2026

Similar Medicare Providers

1801765250 — MRS. SHANE MARIE CARTER FNP-BC
Practice Location Address:

830 S GLOSTER ST
TUPELO, MS
38801-4934

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1629078746 — DAVID SMITH TALTON M.D.
Practice Location Address:

830 S GLOSTER ST , NMMC EAST TOWER 4TH FLOOR
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1689674707 — ROBERT JOSEPH DERVELOY III M.D.
Practice Location Address:

830 S GLOSTER ST , NMMC EAST TOWER 4TH FLOOR
TUPELO, MS
38801-4934

Practice Phone: 662-377-7170
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1558361519 — HENRY PATELFORD EWING M.D.
Practice Location Address:

830 S GLOSTER ST , NMMC EAST TOWER 4TH FLOOR
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1538169503 — VISHAL SACHDEV M.D.
Practice Location Address:

830 S GLOSTER ST , NMMC EAST TOWER 4TH FLOOR
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1871565135 — DR. DAN P WARLICK MD
Practice Location Address:

830 S GLOSTER ST
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38801-4934

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Directions to “ WESLEY B BRUCE ” Practice Location

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