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MRS. KIMBERLY NICHOLE BRYANT APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1235719584

Individual Registrant:
MRS. KIMBERLY NICHOLE BRYANT APRN
Gender: F
Sole Proprietor

Location and contact information for practice:
1563 HINOTE RD  DEFUNIAK SPRINGS, FL 32433-8130 US
Tel: 850-585-0863  Fax: --

Contact information for business:
1563 HINOTE RD  DEFUNIAK SPRINGS, FL 32433-8130 US
Tel: 850-585-0863  Fax: --

Registration Information:
NPI: 1235719584
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FL11011482

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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