Provider Demographics
NPI:1669603650
Name:JURS, BRIANNE MICHELLE
Entity type:Individual
Prefix:MS
First Name:BRIANNE
Middle Name:MICHELLE
Last Name:JURS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 NANCY RD
Mailing Address - Street 2:APT #2
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1625
Mailing Address - Country:US
Mailing Address - Phone:502-299-3296
Mailing Address - Fax:
Practice Address - Street 1:4 NANCY RD
Practice Address - Street 2:APT #2
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1625
Practice Address - Country:US
Practice Address - Phone:502-299-3296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist