Individual
JENNIFER LEE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9608 BOUNDLESS SHADE TER, LAUREL, MD 20723-1490
(443) 774-8259
(443) 214-0542
Mailing address
9608 BOUNDLESS SHADE TER, LAUREL, MD 20723-1490
(443) 774-8259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R238476
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-3395270
88-3395270
MD
Enumeration date
06/18/2021
Last updated
03/04/2024
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