Bryde, Jacob Russell

Bryde, Jacob Russell is an individual health care provider with primary practice located at 804 Service Rd Ste A110 , East Lansing MI 48824-7015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Bryde, Jacob Russell can be contacted via phone (517) 353-2822.

Contact Information

Primary practice address
804 Service Rd Ste A110 East Lansing MI 48824-7015
Phone: (517) 353-2822
Fax: (517) 355-2824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704335991 Michigan

Profile Details

NPI number 1821836024
LBN Legal business name Bryde, Jacob Russell
Credentials DNP, AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2024
Last updated Oct 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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