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Individual
TINA BRYANT
Active
Individual
TINA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1156977
KY
363LF0000X
Family Nurse Practitioner
Primary
3016722
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
11/05/2019
Last updated
11/24/2025
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