Douglas, Bryonna

Douglas, Bryonna is an sole proprietor health care provider with primary practice located at 8288 Tabor Ln , Fairfax Station VA 22039-3057. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Douglas, Bryonna can be contacted via phone (808) 722-2865.

Contact Information

Primary practice address
8288 Tabor Ln Fairfax Station VA 22039-3057
Phone: (808) 722-2865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 0001301512 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024185517 Virginia

Profile Details

NPI number 1265175202
LBN Legal business name Douglas, Bryonna
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2022
Last updated Nov 7th, 2022 - 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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