Nichell Renee Bryant, APRN
Individual provider Active NPI Family Nurse Practitioner · Palatka, FL
NPI 1306531389 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1306531389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11025634 (FL)
- Practice address
- 400 N State Road 19 Ste 48
Palatka, FL 32177-2449 - Phone
- (386) 329-8800
- NPI assigned
- Apr 6, 2023
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11025634 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11025634 | FL | Yes |
Addresses
Primary practice location
400 N State Road 19 Ste 48
Palatka, FL 32177-2449
Mailing address
107 W Oak St
Palatka, FL 32177-9441
Other providers in Palatka, FL
- John J Brooks Jr.
- Julia G Broskie
- Dara K Brown
- Michael T Bruce
- Amy J Bruen
- Sharon Elizabeth Buck
- Amanda Buckles
- Vicky P Buckles
- Lynn Marie Burney
- Krystal M Butler-Fernandez
All providers in Palatka, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. 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.