Individual
MRS. SUZANNE M BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C. F. N. P.
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-8771
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11006970
FL
363LF0000X
Family Nurse Practitioner
R639362
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00858344
—
MS
Enumeration date
01/02/2007
Last updated
07/27/2020
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