Healthcare Provider Details

I. General information

NPI: 1720713357
Provider Name (Legal Business Name): OSIE AMANDA BRIGMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 SOUTHPOINT CROSSING DR
DURHAM NC
27713-6609
US

IV. Provider business mailing address

1413 SOUTHPOINT CROSSING DR
DURHAM NC
27713-6609
US

V. Phone/Fax

Practice location:
  • Phone: 919-725-1003
  • Fax:
Mailing address:
  • Phone: 919-725-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number244869
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017503
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: