Individual
JUDITH C BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
905 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1600
(423) 907-1646
Mailing address
905 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1600
(423) 907-1646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5462
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508799
—
TN
Enumeration date
03/21/2006
Last updated
07/08/2014
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