Bryant, Jade
Bryant, Jade is an sole proprietor health care provider with primary practice located at 1910 Lake Ave , Pueblo CO 81004-3322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bryant, Jade can be contacted via phone (719) 582-1489.Contact Information
Primary practice address
1910 Lake Ave
Pueblo CO 81004-3322
Phone: (719) 582-1489
Fax: (719) 434-9807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0992962 | Colorado |
Profile Details
| NPI number | 1154861995 |
|---|---|
| LBN Legal business name | Bryant, Jade |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2017 |
| Last updated | Mar 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154861995 | NPPES |
| Colorado | MEDICAID | 9000150045 |
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