Individual
LATICIA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 STANTONSBURG RD, SUITE 1AD 200, GREENVILLE, NC 27834-2818
(252) 847-3898
Mailing address
3820 GLOUCESTER DR W, WILSON, NC 27893-9215
(252) 218-5194
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5009393
NC
Other
Enumeration date
03/20/2017
Last updated
12/10/2020
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