Individual provider · NPI-1

Jessica Elizabeth Bruno, DPM

Podiatrist, Foot & Ankle Surgery · Chesapeake, VA

NPI number1497252910
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1497252910
Entity type
Individual (NPI-1)
Name
Jessica Elizabeth Bruno
Credential
DPM
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2018
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery0103301326VAYes

Practice location

3241 Western Branch Blvd
Chesapeake, VA 23321-5260

Phone 757-686-3500

Mailing address

208 Leicester Ct
Chesapeake, VA 23322-4285

Phone 570-242-5106

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