JAMIE BRUNEAU (NPI# 1710521422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710521422 |
| Entity Type | Individual |
| Full Name | JAMIE BRUNEAU |
| Credential | NP |
| Practice Address |
129 Vision Park Blvd Ste 109 Shenandoah TX 77384-3024 |
| Mailing Address |
200 Fountains Ln Apt 1107 Conroe TX 77304-5045 |
| Practice Telephone | 9362730836 |
| Practice Fax Number | 9363212266 |
| Mailing Telephone | 4407962526 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP143893 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
129 VISION PARK BLVD STE 109 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841847498 | Claudia Castillo | Nurse Practitioner | 19675 I 45 S Ste 100, Shenandoah, TX 77385-8761 | 2019-08-19 |
| 1336602069 | Irene Ifesinachi Orioha | Nurse Practitioner | 150 Pine Forest Dr Ste 110, Shenandoah, TX 77384-5303 | 2019-04-09 |
| 1083184600 | Leslie Jane Ford | Nurse Practitioner | 150 Pine Forest Dr Ste 503, Shenandoah, TX 77384-5304 | 2018-11-26 |
| 1225514524 | Ann Renee Manuel | Nurse Practitioner | 17189 I H 45 S Ste 475, Shenandoah, TX 77385-3320 | 2018-07-19 |
| 1205322161 | Brandi Stull | Nurse Practitioner | 1120 Medical Plaza Dr Ste 335, Shenandoah, TX 77380-3254 | 2018-07-03 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1033617857 | Maria Ivy Claborn | Nurse Practitioner | 150 Pine Forest Dr Ste 101, Shenandoah, TX 77384-5302 | 2018-01-26 |
| 1730407552 | Matthew Michael Yoder | Nurse Practitioner | 422 1st St, Shenandoah, VA 22849-1504 | 2010-05-05 |
| 1245256262 | Shelly L. Huckaby | Nurse Practitioner | 17189 I H 45 S Ste 205, Shenandoah, TX 77385 | 2006-07-14 |
| 1164023461 | Jill G Campbell | Nurse Practitioner | 128 Vision Park Blvd Ste 150, Shenandoah, TX 77384-3018 | 2020-11-03 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
Please comment or provide details below to improve the information on JAMIE BRUNEAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.