Bryant, Tina

Bryant, Tina is an individual health care provider with primary practice located at 2645 N Laurel Rd Ste A , London KY 40741-9075. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bryant, Tina can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
2645 N Laurel Rd Ste A London KY 40741-9075
Phone: (833) 510-4357
Fax: (866) 460-2997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1156977 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016722 Kentucky

Profile Details

NPI number 1679117493
LBN Legal business name Bryant, Tina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2019
Last updated Apr 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679117493 NPPES
Kentucky MEDICAID 1790731081

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