Individual
JAI SHARRA LIANNE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
28315 S FROST RD, LIVINGSTON, LA 70754-2612
(225) 683-5292
(225) 683-1310
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08453
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2405144
—
LA
Enumeration date
10/16/2015
Last updated
03/04/2025
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