Ms. LISA MARIE BRUNS
Individual Provider (NPI-1)
Active
Nurse Practitioner, Adult Health
Provider Information
- NPI Number
1720840945- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1125 MADISON ST, JEFFERSON CITY, MO, 651015227
- Phone
- (573) 632-5000
Specialties & Taxonomies
Nurse Practitioner, Gerontology
License: MO #2024004467
Nurse Practitioner, Adult Health
Primary License: MO #2024004467