Jennifer Fuqua Bryant, APRN
Nurse Practitioner in Beaumont, TX. Individual provider (NPI-1).
NPI number1316296809
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1316296809
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Fuqua Bryant
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2012
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP120592 | TX | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 687943 | TX |
Practice location
5875 N Major DrBeaumont, TX 77713-9034
Phone 409-892-2262 · Fax 409-892-3336
Mailing address
919 Hidden RdgIrving, TX 75038-3813
Phone 469-282-2711 · Fax 469-282-0996
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