MEDICARE: JAMIE BRUMIT FNP

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	41454	TN

General Provider Information

NPI Number	:	1144177403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE BRUMIT FNP

Provider Business Mailing Address
First Line	:	140 HAYES ST APT 102
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-5097
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 S 700 E STE 700
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2533
Country	:	US
Telephone Number	:	866-225-5948
Fax Number	:

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

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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