Individual
JASON BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 697-0014
(423) 648-6280
Mailing address
725 GLENWOOD DR, SUITE E-487, CHATTANOOGA, TN 37404-1163
(423) 697-0014
(423) 648-6280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19893
TN
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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