DR. JESSICA DOMINIQUE BRUCE (NPI# 1639585821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639585821 |
| Entity Type | Individual |
| Full Name | DR. JESSICA DOMINIQUE BRUCE |
| Credential | DMD |
| Practice Address |
29 Bokum Rd Chester CT 06412-1339 |
| Practice Telephone | 8605599146 |
| Mailing Telephone | 8605599146 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2.011701 | CT | Dental Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 11701 | CT | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396866638 | Jessica Ann Bruce | Occupational Therapist | 286 Deyo Hill Road, Johnson City, NY 13790 | 2007-04-03 |
| 1922606078 | Jessica Bruce | Behavioral Analyst | 1007 Market St, Wheeling, WV 26003-2911 | 2020-10-12 |
| 1245854710 | Jessica Bruce | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2020-06-01 |
| 1346691128 | Jessica M Bruce | Physician Assistant | 432 3rd Ave, Ford City, PA 16226-1003 | 2016-06-23 |
| 1205029162 | Jessica Bruce | Nurse Practitioner | 300 E Jefferson St, Boise, ID 83712-6246 | 2007-08-23 |
| Street Address |
29 BOKUM RD |
| City | CHESTER |
| State | CT |
| Zip Code | 06412-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184866618 | Donald Dean Yousey | Occupational Therapist | 3 South Wig Hill Rd., Chester, CT 06412 | 2009-03-30 |
| 1598834152 | Elizabeth Madeline Bird | Pediatrics | 20 Water St, Chester, CT 06412 | 2006-11-07 |
| 1639660194 | River Valley Pediatrics and Adolescent Medicine | Clinic/Center | 20 Water St, Chester, CT 06412 | 2018-05-21 |
| 1972996049 | Pamela Lape | Psychologist | 15 North Main Street, Reflections of Chester, Chester, CT 06412 | 2015-03-12 |
| 1316960818 | Andrea Dingman Kosack | Physician Assistant | 20 York Street, Ynhh Nbscu, New Haven, CT 06412 | 2006-07-25 |
| 1508985672 | Christopher J Kearns | Dentist | 4 Water St, Chester, CT 06412-0510 | 2007-03-28 |
| 1710243738 | Regina Marie Walsh | Counselor | 15 North Main Street, Chester, CT 06412-0641 | 2012-04-03 |
| 1861925208 | Samantha Elsa Grass | Behavioral Analyst | 89 Cedar Lake Rd, Chester, CT 06412-1008 | 2017-04-04 |
| 1306246640 | Oliver Winter | Internal Medicine | 61 Winthrop Rd, Chester, CT 06412-1036 | 2014-08-22 |
| 1922424084 | Hemanth Yalavarthy | Physical Therapist | 317 W Main St, Chester, CT 06412-1057 | 2014-03-13 |
| Find all providers in zip 06412 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050645 | Olivia Eve Brownley | Student in an Organized Health Care Education/Training Program | 149 Claiborne St, Chester, MD 21619-2911 | 2020-07-11 |
| 1528686631 | Katelyn Michelle Graff | Student in an Organized Health Care Education/Training Program | 2000 Bison Rd, Chester, MT 59522-7719 | 2020-07-06 |
| 1073144168 | Julie Murray | Student in an Organized Health Care Education/Training Program | 262 Jennifer Dr, Chester, NH 03036-4167 | 2020-01-28 |
| 1619511854 | Andrew Spence | Student in an Organized Health Care Education/Training Program | 1800 Coyote Dr, Chester, VA 23836-2400 | 2019-10-31 |
| 1902449440 | Jamie Elizabeth Flynn | Student in an Organized Health Care Education/Training Program | 3 Hudson St, Chester, NY 10918-1336 | 2019-10-28 |
| 1376010694 | Kenneth Brian Lee | Student in an Organized Health Care Education/Training Program | 12603 Hogans Aly, Chester, VA 23836-8600 | 2018-10-24 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
| 1861010803 | Muhammad Moiz Tahir | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Chester, PA 19013 | 2020-07-07 |
| 1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| Find all providers in CHESTER | ||||
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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.