Jessica W Bryan, RN, BSN, MSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

209620 Issued in SC

Practice address

2111 Wilson Rd
Newberry, SC 29108-1603

Phone

(803) 321-2170

Fax

(803) 321-2300

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1609293356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 FIELD CREEK RD",
            "city": "RUFFIN",
            "state": "SC",
            "postal_code": "294754144",
            "telephone_number": "843-599-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 WILSON RD",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291081603",
            "telephone_number": "803-321-2170",
            "fax_number": "803-321-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "JESSICA",
        "middle_name": "W",
        "credential": "RN, BSN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "209620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E17149",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas F Bradberry, MD
• Branch & Stafford Optometric Associates, PA (Eye Care Center)
• Sarah H Brickley, OTR/L
• Diane Zybko Broom, DMD
• Robert Leslie Brown, DMD
• Yushica Burgess
• Johnny Buzhardt
• William H Cantey, M.D.
• Capital Care Resources of South Carolina, LLC (CenterWell Home Health)
• Carolina Health Centers, Inc. (Carolina Health Centers at Newberry MHC)

• Registered Nurse in Newberry, SC
• Providers in Newberry, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.