JENNIFER BRUK (NPI# 1770989923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770989923 |
| Entity Type | Individual |
| Full Name | JENNIFER BRUK |
| Credential | ARNP |
| Practice Address |
210 Jupiter Lakes Blvd Ste 3102 Jupiter FL 33458-7189 |
| Mailing Address |
173 Via Rosina Jupiter FL 33458-6934 |
| Practice Telephone | 5614066561 |
| Practice Fax Number | 5614066629 |
| Mailing Telephone | 5614274514 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
3285242 | FL | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3285242 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 JUPITER LAKES BLVD STE 3102 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689007700 | Edward Leonardo Barias | Psychiatry & Neurology | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458 | 2013-08-13 |
| 1104446780 | Timothy Thomas Turscak | Nurse Practitioner | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458-7189 | 2020-04-23 |
| 1841753019 | Jessica Lynn Jeans | Counselor | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458-7189 | 2019-04-12 |
| 1063907517 | The Brain Spa, LLC | Psychiatry & Neurology | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457957 | Jessica Rose Teeters | Nurse Practitioner | 3294 W Mallory Blvd, Jupiter, FL 33458-8771 | 2020-08-16 |
| 1730716739 | Summer Barron Reedy | Nurse Practitioner | 86 Fairview E, Jupiter, FL 33469-1905 | 2020-03-27 |
| 1689205791 | Janice Ann Dennis | Nurse Practitioner | 255 Murcia Dr Apt 102, Jupiter, FL 33458-2760 | 2020-01-28 |
| 1992348841 | Samantha Brooke Elsbree | Nurse Practitioner | 4537 Parkside Dr Apt 2006, Jupiter, FL 33458-5370 | 2019-10-23 |
| 1669024675 | Melissa Munter Mosley | Nurse Practitioner | 2500 Via Royale Apt 2501, Jupiter, FL 33458-7088 | 2019-07-10 |
| 1093376980 | Rosalie Magramo Del Valle | Nurse Practitioner | 7099 Limestone Cay Rd, Jupiter, FL 33458-3891 | 2019-06-22 |
| 1336621135 | Tricia Maccarthy | Nurse Practitioner | 6462 Robinson St, Jupiter, FL 33458-6629 | 2018-08-29 |
| 1669901401 | Brandi Bivens | Nurse Practitioner | 4600 Military Trl Ste 115, Jupiter, FL 33458-4811 | 2017-06-06 |
| 1316343874 | Gloria Hazel | Nurse Practitioner | 17042 Bush Rd, Jupiter, FL 33458-5525 | 2014-11-11 |
| 1730583899 | Victoria Zimmer | Nurse Practitioner | 10220 153rd Ct N, Jupiter, FL 33478-6820 | 2014-10-18 |
| Find all providers in JUPITER | ||||
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| 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.