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Individual

JAMIE S BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3707 CHAMBERLAIN LN STE 101, LOUISVILLE, KY 40241-2091
(502) 426-9200
(502) 426-9259
Mailing address
3707 CHAMBERLAIN LN STE 101, LOUISVILLE, KY 40241-2091
(502) 426-9200
(502) 426-9259

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3003971
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200869410
IN
05
78013372
KY
Enumeration date
07/10/2006
Last updated
07/23/2015
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