Individual
MR. JEFFERY MOSES BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
16140 TEMPLAR CIR, SOUTHFIELD, MI 48075-6933
(248) 483-6829
Mailing address
16140 TEMPLAR CIRCLE, SOUTHFIELD, MI 48075
(248) 770-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04170080
MI
Other
Enumeration date
07/15/2017
Last updated
03/17/2018
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