Joellyn Debruler, RN
Registered Nurse in Jackson, MI. Individual provider (NPI-1).
NPI number1164090338
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1164090338
- Entity type
- Individual (NPI-1)
- Name
- Joellyn Debruler
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2021
- Certification date
- Jun 15, 2021
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704181470 | MI | Yes |
Practice location
1200 N West Ave Ste 400Jackson, MI 49202-2180
Phone 517-780-3336 · Fax 517-796-4561
Mailing address
1200 N West Ave Ste 400Jackson, MI 49202-2180
Phone 517-780-3336 · Fax 517-796-4561
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