Healthcare Provider Details

I. General information

NPI: 1508785643
Provider Name (Legal Business Name): BRISHAWNA FRAZIER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3379 PEACHTREE RD NE STE 700 PMB 1052
ATLANTA GA
30326
US

IV. Provider business mailing address

600 WESTRIDGE PKWY STE 714 PMB 1025
MCDONOUGH GA
30253
US

V. Phone/Fax

Practice location:
  • Phone: 943-204-9720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-NP302714
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: