Individual
STEPHANIE JOY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1317 N STATE ST, GREENFIELD, IN 46140-1026
(317) 967-2167
Mailing address
5846 N OAKLAND AVE, INDIANAPOLIS, IN 46220-5416
(219) 678-2316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012967A
IN
363LF0000X
Family Nurse Practitioner
71012967A
IN
Other
Enumeration date
08/23/2022
Last updated
02/07/2024
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