Healthcare Provider Details

I. General information

NPI: 1033686035
Provider Name (Legal Business Name): BRIANNA BISSEY MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2018
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GATEWAY CTR STE 2600
NEWARK NJ
07102-5323
US

IV. Provider business mailing address

1 GATEWAY CTR STE 2600
NEWARK NJ
07102-5323
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax: 201-751-1680
Mailing address:
  • Phone: 888-731-8994
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024176817
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0024176817
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26NJ01349200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: