Individual
AMY DIANE BRIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
209 N CAMELLIA BLVD, FORT VALLEY, GA 31030-3368
(478) 822-0054
(478) 822-0059
Mailing address
209 N CAMELLIA BLVD, FORT VALLEY, GA 31030-3368
(478) 822-0054
(478) 822-0059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-031785
IL
363LF0000X
Family Nurse Practitioner
209-031785
IL
363LF0000X
Family Nurse Practitioner
5020931
NC
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP236405
GA
363LF0000X
Family Nurse Practitioner
Primary
RN236405
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F08191038
NP CERTIFICATION NUMBER
GA
01
—
RN236405
NP LICENSURE
GA
Enumeration date
10/29/2019
Last updated
02/20/2026
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