Bryant, Jennifer Fuqua

Bryant, Jennifer Fuqua is an sole proprietor health care provider with primary practice located at 5875 N Major Dr , Beaumont TX 77713-9034. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bryant, Jennifer Fuqua can be contacted via phone (409) 892-2262.

Contact Information

Primary practice address
5875 N Major Dr Beaumont TX 77713-9034
Phone: (409) 892-2262
Fax: (409) 892-3336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP120592 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 687943 Texas

Profile Details

NPI number 1316296809
LBN Legal business name Bryant, Jennifer Fuqua
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2012
Last updated Apr 12th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316296809 NPPES
Texas Other P02601517 MCRR
Texas Other 1K1805 MCRR
Texas MEDICAID 331662202 MCRR

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