Healthcare Provider Details
I. General information
NPI: 1346124427
Provider Name (Legal Business Name): HANNAH LEIGH BRYANT DNP, AC-PNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/02/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD FL 4
GAINESVILLE FL
32610-3003
US
IV. Provider business mailing address
PO BOX 100296
GAINESVILLE FL
32610-3003
US
V. Phone/Fax
- Phone: 352-273-7832
- Fax:
- Phone: 352-273-9120
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 11040608 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 9540464 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: