Individual
DR. JENNIFER LYN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-C
Contact information
Practice address
256 SW PROFESSIONAL GLN STE 102, LAKE CITY, FL 32025-1104
(386) 319-8938
(386) 438-8628
Mailing address
256 SW PROFESSIONAL GLN STE 102, LAKE CITY, FL 32025-1104
(386) 319-8938
(386) 438-8628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9329993
FL
363L00000X
Nurse Practitioner
Primary
11006255
FL
Other
Enumeration date
10/28/2019
Last updated
03/12/2025
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