Bryant, Danielle Bolton

Bryant, Danielle Bolton is an individual health care provider with primary practice located at 2500 N State St # S139-01 , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bryant, Danielle Bolton can be contacted via phone (601) 815-8489.

Contact Information

Primary practice address
2500 N State St # S139-01 Jackson MS 39216-4500
Phone: (601) 815-8489
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T-4962 Mississippi

Profile Details

NPI number 1760186787
LBN Legal business name Bryant, Danielle Bolton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2023
Last updated Jul 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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