Individual
NICOLE HORNE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 WATERFORD DR NW, WILSON, NC 27896-1589
(252) 373-0825
(252) 509-0454
Mailing address
1712 WATERFORD DR NW, WILSON, NC 27896-1589
(252) 373-0825
(252) 509-0454
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/14/2015
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