Individual
JUSTIN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
452 SILVERSTONE DR, JONESBORO, AR 72404-5010
(928) 651-0506
Mailing address
452 SILVERSTONE DR, JONESBORO, AR 72404-5010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R101853
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1525
AZ
Other
Enumeration date
02/13/2018
Last updated
02/12/2019
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