Healthcare Provider Details

I. General information

NPI: 1811782410
Provider Name (Legal Business Name): BRIANNA FERRELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SE OCEAN BLVD
STUART FL
34994-2298
US

IV. Provider business mailing address

PO BOX 102222
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 772-287-4061
  • Fax: 772-287-4176
Mailing address:
  • Phone: 392-748-2002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11039838
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: