Fitzgerald, John Bryce

Fitzgerald, John Bryce is an individual health care provider with primary practice located at 3605 Northgate Ct , New Albany IN 47150-6400. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Fitzgerald, John Bryce can be contacted via phone (812) 920-0408.

Contact Information

Primary practice address
3605 Northgate Ct New Albany IN 47150-6400
Phone: (812) 920-0408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 28207179C Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 28207179C Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28207179C Indiana

Profile Details

NPI number 1609590389
LBN Legal business name Fitzgerald, John Bryce
Credentials APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2022
Last updated Dec 2nd, 2022 - 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 1609590389 NPPES
Kentucky MEDICAID 7100861520
Kentucky Other K4121802
Kentucky Other IN1920035

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