Healthcare Provider Details

I. General information

NPI: 1568377570
Provider Name (Legal Business Name): DESHAWNA ALYSE BRYANT APRN-FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 W 15TH ST STE 150B
PLANO TX
75075-8895
US

IV. Provider business mailing address

301 BEACON HILL DR
ALLEN TX
75013-3401
US

V. Phone/Fax

Practice location:
  • Phone: 214-501-5427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1047955
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: