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Individual

DR. JENNIFER ANN ADAMS BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-5403
(772) 589-3186
(561) 388-3689
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36006
TN
207P00000X
Emergency Medicine Physician
Primary
ME94013
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3332827
TN
01
4108165
BCBS
TN
05
64109127
KY
01
P00255397
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
11/27/2018
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