Healthcare Provider Details

I. General information

NPI: 1508719600
Provider Name (Legal Business Name): JAMYA BRIONNA BRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2443 OLD RUSSELLVILLE PIKE
CLARKSVILLE TN
37040-5833
US

IV. Provider business mailing address

2443 OLD RUSSELLVILLE PIKE
CLARKSVILLE TN
37040-5833
US

V. Phone/Fax

Practice location:
  • Phone: 828-398-2500
  • Fax:
Mailing address:
  • Phone: 931-542-9010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: