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NPI Code Detail

MEDICARE: KHIANNA NICHOLE BRYANT MSN, APRN FNP-C

MEDICARE: KHIANNA NICHOLE BRYANT MSN, APRN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner5019991NC
2363LF0000XFamily Nurse PractitionerAC007620MD
3363LF0000XFamily Nurse Practitioner5019991NC

General Provider Information

NPI Number : 1063269439
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHIANNA NICHOLE BRYANT MSN, APRN FNP-C
Provider Business Mailing Address
First Line : PO BOX 8352
Second Line :
City : GREENSBORO
State : NC
Zip : 27419-0352
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 MARITHE CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2702
Country : US
Telephone Number : 336-852-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2024
Last Update Date : 01/26/2026

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