Individual
JANA D BRIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN, RN
Contact information
Practice address
672 VZ COUNTY ROAD 1922, FRUITVALE, TX 75127-7512
(903) 292-8277
Mailing address
PO BOX 154, FRUITVALE, TX 75127-0154
(903) 292-8277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1001338
TX
164X00000X
Licensed Vocational Nurse
Primary
339242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001338
TEXAS BOARD OF NURSING
TX
01
—
339242
TEXAS BOARD OF NURSING
TX
Enumeration date
09/30/2020
Last updated
09/30/2020
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