Julia S Bryan, N.P.

Individual provider Active NPI Family Nurse Practitioner · Lewisburg, TN

NPI 1407925399 · NPPES record last updated Jan 24, 2014

Key facts

NPI
1407925399
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
5614 (TN)
Practice address
335 1St Ave N
Lewisburg, TN 37091-2826
Phone
(931) 270-0050
Fax
(931) 270-0052
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Past Accepting new patients
JCL Express Walk-in Clinic, LLC Past
since Oct 20, 2019
Accepting new patients
Maury Regional Ambulatory Care Center Inc. Family Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5614 TN Yes

Addresses

Primary practice location

335 1St Ave N
Lewisburg, TN 37091-2826

Mailing address

335 1St Ave N
Lewisburg, TN 37091-2826
Phone (931) 270-0050

Other identifiers

IdentifierTypeStateIssuer
3907310MedicaidTN
3732438MedicaidTN
4233400OtherTNBCBST

Other providers in Lewisburg, TN

All providers in Lewisburg, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.