Individual
TAMESHA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
9370 HOPEWELL RD, LIZELLA, GA 31052-3830
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN265221
GA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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