Jessica Jolie Bryson

Key facts

NPI

1043030133

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

500 Military Cutoff Rd
Wilmington, NC 28405-9737

Phone

(910) 392-0080

NPI assigned

Oct 14, 2024

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2024.

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1043030133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284059737",
            "telephone_number": "910-392-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284059737",
            "telephone_number": "910-392-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "JESSICA",
        "middle_name": "JOLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

• Carolyn Talbert Bryan, OD
• Chacey Bryan, M.D.
• Donna Bryan
• Carol Bryant, LCSW
• Talishia Bryant, LCSWA
• Christopher Buccieri, DC
• William Preston Buchanan, MD
• Lindsey Bazen Buchser, FNP
• Lindsey Kathryn Buckingham, MD
• Alexandra Lee Buckley, O.D

All providers in Wilmington, NC · Behavior Technician in North Carolina