Jefferson, Brianna Nicole

Jefferson, Brianna Nicole is an sole proprietor health care provider with primary practice located at 3375 Spring Hill Pkwy Se Apt 1034 , Smyrna GA 30080-6837. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Jefferson, Brianna Nicole can be contacted via phone (256) 663-9172.

Contact Information

Primary practice address
3375 Spring Hill Pkwy Se Apt 1034 Smyrna GA 30080-6837
Phone: (256) 663-9172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X AT003789 Georgia

Profile Details

NPI number 1942896774
LBN Legal business name Jefferson, Brianna Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2020
Last updated Dec 16th, 2020 - about 5 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 1942896774 NPPES
Georgia MEDICAID 4046518681

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