JENNIFER NICHOLE BRYANT (NPI# 1013487065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013487065 |
Entity Type | Individual |
Full Name | JENNIFER NICHOLE BRYANT |
Credential | NP |
Practice Address |
1514 Vernon Rd Lagrange GA 30240-4131 |
Practice Telephone | 7068821411 |
Mailing Telephone | 7068821411 |
Enumeration Date | 2018-12-03 |
Last Update Date | 2018-12-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN217745 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477102994 | Jennifer Bryant | Licensed Practical Nurse | 30 Parkwood Dr, Mastic Beach, NY 11951-3202 | 2019-09-06 |
1245721448 | Jennifer Bryant | Counselor | 226 Shellbark Dr, Mcdonough, GA 30252-1624 | 2018-05-23 |
1073011888 | Jennifer Louise Bryant | Nurse Practitioner | 600 W Hillsboro Blvd Ste 102, Deerfield Beach, FL 33441-1610 | 2018-01-26 |
1437383882 | Jennifer L. Bryant | Physical Therapist | 1110 W. Schick Rd., Bartlett, IL 60103 | 2009-05-13 |
1396751426 | Jennifer Elizabeth Bryant | Radiology | 36 Hoffmann Rd, Canton, CT 06019-2123 | 2006-07-31 |
1679197107 | Jennifer Diane Bryant | Licensed Practical Nurse | 645 10th Ave, New York, NY 10036-2904 | 2020-06-01 |
1407486137 | Jennifer M Bryant | Pharmacist | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2020-01-22 |
1588224133 | Jennifer Joy Bryant | Counselor | 3524 83rd St, Jackson Heights, NY 11372-5229 | 2019-06-17 |
1043729189 | Jennifer Bryant | Registered Nurse | 1000 Red Ball Trl, Greenville, IL 62246-2781 | 2017-09-20 |
1760915961 | Jennifer Lauren Bryant | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2017-04-05 |
Street Address |
1514 VERNON RD |
City | LAGRANGE |
State | GA |
Zip Code | 30240-4131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609860014 | Heather Tomlinson Coggins | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2005-08-31 |
1437762747 | James L Yancey | Student in an Organized Health Care Education/Training Program | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-08-26 |
1700400272 | Jared K Angstadt | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-06-01 |
1467092445 | Arielle Watson | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-01-08 |
1336799733 | Colby Russey | Physician Assistant | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-09-17 |
1306401260 | Brandon Blakely Bisso | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-05-07 |
1902460926 | Pamela Teresa Sampson | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-04-24 |
1932683802 | Darrin Coulter | Physician Assistant | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-09-18 |
1053892760 | John Veal | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2018-08-22 |
1114422318 | Laura Suzanne Savage | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240 | 2018-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
Find all providers in zip 30240 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467092445 | Arielle Watson | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2020-01-08 |
1578124541 | Sandra Lee Adams | Nurse Practitioner | 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507 | 2019-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
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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.