Jaclyn M Debruyne, CNP
Nurse Practitioner, Family in Toledo, OH. Individual provider (NPI-1).
NPI number1982183554
StatusActive
Last updated in NPPESApr 2, 2024
Details
- NPI
- 1982183554
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn M Debruyne
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2018
- Certification date
- Apr 2, 2024
- Last updated
- Apr 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | CNP.023029 | OH | Yes |
Practice location
553 E Manhattan BlvdToledo, OH 43608-1216
Phone 419-219-7001 · Fax 567-316-6462
Mailing address
329 N West StLima, OH 45801-4332
Phone 419-221-3072 · Fax 419-225-8878
Other practice locations
2020 Starr Ave
Toledo, OH 43605-2522
Toledo, OH 43605-2522
Phone 567-218-1900 · Fax 419-225-8878
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