Doctor Name: | MRS. KRISTEN NICOLE BRYANT |
NPI Number: | 1528423639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN183917 |
Business Practice Address: | 1120 Indian Dr Eastman, GA - 310237670 |
Business Phone Number: | 4783741778 |
Business Fax Number: | |
Mailing Address: | 1120 Indian Dr, EASTMAN |
State: | GA |
Postal Code: | 310237670 |
Phone Number: | 4783741778 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2015 |
NPI Last Update Date: | 12/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN183917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |