Individual provider · NPI-1

Inez Bryant, CNA

Nurse's Aide · Jonesboro, GA

NPI number1922512748
StatusActive
Last updated in NPPESDec 1, 2017

Details

NPI
1922512748
Entity type
Individual (NPI-1)
Name
Inez Bryant
Credential
CNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 1, 2017
Last updated
Dec 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCN0014205430GAYes

Practice location

1138 Village Crk
Jonesboro, GA 30238-7967

Phone 678-665-7216

Mailing address

1138 Village Crk
Jonesboro, GA 30238-7967

Phone 678-665-7216

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