Individual provider · NPI-1

Dr. Amanda Bray Brinson, CPNP

Nurse Practitioner, Pediatrics · Wilson, NC

NPI number1124235114
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1124235114
Entity type
Individual (NPI-1)
Name
Dr. Amanda Bray Brinson
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2007
Certification date
Jul 18, 2022
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics0050-00956NCYes

Other names

  • Amanda Brinson Davis (Former Name)

Practice location

1702 Medical Park Dr W
Wilson, NC 27893-2878

Phone 252-243-7944

Mailing address

1702 Medical Park Dr W
Wilson, NC 27893-2878

Phone 252-243-7944

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