Individual
SUSAN JEAN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNPC
Contact information
Practice address
1111 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2125
(417) 865-2815
(417) 575-5496
Mailing address
1111 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2125
(417) 865-2815
(417) 575-5496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106677
MO
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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