Shawanna Brun, ARNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

128792 Issued in GA

Practice address

4097 Stacy LN
Snellville, GA 30039-6199

Phone

(850) 933-0768

NPI assigned

Mar 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1891496428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 STACY LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396199",
            "telephone_number": "850-933-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 STACY LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396199",
            "telephone_number": "850-933-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUN",
        "first_name": "SHAWANNA",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "128792",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "128792",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "128792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zicole Browne, DO
• Bruce J Sabin MD PC
• Bruce J. Sabin MD, PC
• David Bryan, MD
• Donna Bryan, RBT
• Natalya Esther Bryant, LCSW
• Bstsa Inc Dba Spectrum Therapy Center
• Tayana Buchanan

• Adult Health Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.