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Individual

MRS. BRYANNA MARIE WHITEHURST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
209 E BROADWAY ST, WINNSBORO, TX 75494-2604
(903) 342-3355
Mailing address
209 E BROADWAY ST, WINNSBORO, TX 75494-2604
(903) 342-3355

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1105867
TX
363LS0200X
School Nurse Practitioner
935592
TX

Other

Enumeration date
05/26/2021
Last updated
08/01/2023
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