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Individual

MS. BARBARA JO BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
Mailing address
2590 E LUCAS DR, BEAUMONT, TX 77703-1129
(727) 967-7272

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2105432
FL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R028640
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
796818
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19758000
ME
Enumeration date
06/09/2006
Last updated
06/10/2011
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