Vicky Morton Bryan, FNP-C
Nurse Practitioner in Woodstock, GA. Individual provider (NPI-1).
NPI number1265954788
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1265954788
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vicky Morton Bryan
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN137015 | GA | Yes |
Practice location
422 Sycamore TrailWoodstock, GA 30189
Phone 404-513-0599
Mailing address
422 Sycamore TrlWoodstock, GA 30189-7423
Phone 404-513-0599
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