MEDICARE: BRIANA NICOLE CHAMPION NP

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
1	163W00000X	Registered Nurse	885218	TX
2	363LF0000X	Family Nurse Practitioner	1016492	TX

General Provider Information

NPI Number	:	1457980344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA NICOLE CHAMPION NP

Provider Business Mailing Address
First Line	:	2355 LEBANON RD APT 9305
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-6477
Country	:	US
Telephone Number	:	972-374-7921
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 W SPRING CREEK PKWY APT 1921
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4910
Country	:	US
Telephone Number	:	972-374-7921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2020
Last Update Date	:	12/12/2025

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