Provider Demographics
NPI:1053841163
Name:BRYANT, VERONIKA JO (MSN,RN,FNP-C)
Entity type:Individual
Prefix:
First Name:VERONIKA
Middle Name:JO
Last Name:BRYANT
Suffix:
Gender:F
Credentials:MSN,RN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-4736
Mailing Address - Country:US
Mailing Address - Phone:940-553-7092
Mailing Address - Fax:940-553-7095
Practice Address - Street 1:1716 MAIN ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-4736
Practice Address - Country:US
Practice Address - Phone:940-553-7092
Practice Address - Fax:940-553-7095
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily