IndividualActive
Jackie Bruss
NPI 1114763430 · Licensed Practical Nurse · Plainview, MN
Provider details
- NPI number
- 1114763430
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 623212 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
125 2nd Ave Nw
Plainview, MN 55964-1222
Phone: (507) 951-3830
Approximate (ZIP-level) locationGet directions
Mailing address
64751 141st Ave
Wabasha, MN 55981-7592
Registry dates
- Enumerated
- 2024-07-05
- Last updated
- 2024-07-05
- Certified
- 2024-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.