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Jade Bryant, FNP-BC

Nurse Practitioner, Family in Pueblo, CO. Individual provider (NPI-1).

NPI number1154861995
StatusActive
Last updated in NPPESMar 4, 2024

Details

NPI
1154861995
Entity type
Individual (NPI-1)
Name
Jade Bryant
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2017
Certification date
Mar 4, 2024
Last updated
Mar 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family0992962COYes

Practice location

1910 Lake Ave
Pueblo, CO 81004-3322

Phone 719-582-1489 · Fax 719-434-9807

Mailing address

19 E Abarr Dr # 200
Pueblo, CO 81007-5436

Phone 719-582-1489 · Fax 719-434-9807

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