Healthcare Provider Details

I. General information

NPI: 1164516449
Provider Name (Legal Business Name): PAULA JOANETTE BRYANT-BARNETT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14710 BRUCE B DOWNS BLVD
TAMPA FL
33613-2800
US

IV. Provider business mailing address

14710 BRUCE B DOWNS BLVD
TAMPA FL
33613-2800
US

V. Phone/Fax

Practice location:
  • Phone: 813-684-2229
  • Fax: 813-816-0327
Mailing address:
  • Phone: 813-684-2229
  • Fax: 813-816-0327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN9312569
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN64632
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN9312569
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: