Provider Demographics
NPI:1740872852
Name:BRUCE, CAMERON NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:NICOLE
Last Name:BRUCE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6270
Mailing Address - Country:US
Mailing Address - Phone:912-350-5937
Mailing Address - Fax:
Practice Address - Street 1:4750 WATERS AVE STE 400
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6270
Practice Address - Country:US
Practice Address - Phone:912-350-5937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN279367363LW0102X
FLAPRN11022651363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty