Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB RUSSELL BRYDE, DNP, AGPCNP-BC
ActiveJACOB RUSSELL BRYDE, DNP, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in EAST LANSING, Michigan. NPI 1821836024 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · EAST LANSING, MI
Registration Details
- NPI Number
- 1821836024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2024 (2.0244046655671 yrs)
- Last Updated
- Oct 15, 2024
- License
-
4704335991 (MI)
Practice Information
- Address
-
804 SERVICE RD STE A110EAST LANSING, MI, 488247015Browse MI providers · Browse ZIP 48824
- Phone
- 5173532822
- Fax
- 5173552824
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in EAST LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| MS. LINDA J KEILMAN | N.P. | 1679689574 |
| DR. PATRICK CHARLES CRANE | DNP, AGPCNP-BC | 1508242447 |
| JAY MICHAEL GRAHAM SARTOR | NP | 1538828280 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.