Active NPI
Jacquelyn E Bryant, APRN-BC
- Family Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1811109234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN082044 NP
- Practice address
- 333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377 - Phone
- (770) 540-7942
- Fax
- (770) 554-4392
- NPI assigned
- May 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN082044 NP | GA | Primary |
Addresses
Primary practice location
333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377
Mailing address
1429 Athens St
Jefferson, GA 30549-1482
Phone (706) 367-5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN082044 NP | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811109234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 ATHENS ST",
"city": "JEFFERSON",
"state": "GA",
"postal_code": "305491482",
"telephone_number": "706-367-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 WASHINGTON AVE N",
"address_2": "SUITE 5000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011377",
"telephone_number": "770-540-7942",
"fax_number": "770-554-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "JACQUELYN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN082044 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.