Healthcare Provider Details

I. General information

NPI: 1255975405
Provider Name (Legal Business Name): BRYON ANDREW SAWYER FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 GUY PICKLE RD
AMORY MS
38821-8212
US

IV. Provider business mailing address

60080 FEARS RD
AMORY MS
38821-8933
US

V. Phone/Fax

Practice location:
  • Phone: 662-256-3120
  • Fax: 662-256-7092
Mailing address:
  • Phone: 662-825-0885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number897374
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number904951
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: