Individual
JENNIFER L BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 530-8744
(701) 530-8772
Mailing address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R32204
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452642
—
ND
Enumeration date
07/10/2006
Last updated
10/26/2017
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