Individual
ASHLEY NICOLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
5674 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3254
(770) 322-6161
Mailing address
5674 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3254
(770) 322-6161
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NCO-000006
GA
Other
Enumeration date
09/01/2022
Last updated
01/27/2023
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