Jessica Dian Bryant
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Venice, CA
NPI 1194332189 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1194332189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 204 Hampton Dr
Venice, CA 90291-2623 - Phone
- (310) 733-7654
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
204 Hampton Dr
Venice, CA 90291-2623
Mailing address
14220 Burbank Blvd Apt 123
Sherman Oaks, CA 91401-4945
Phone (310) 733-7654
Other providers in Venice, CA
- Brian Bronk DC
- Linda B. Brookman
- Alain Broulard
- Diana Brown
- Vivian Brown
- Btka
- Cindy Bugarin
- Joanna Isabel Burga
- Amanda Burns
- David Huw Burston
All providers in Venice, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.