MRS. SHARON M BRYAN-GRANT NP NPI 1659416691

NPI Information

NPI: 1659416691
Provider Name: MRS. SHARON M BRYAN-GRANT, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
236 ARROWHEAD BLVD
JONESBORO, GA
ZIP 30236
Phone: (770) 478-9240
Get Directions

MRS. Sharon M Bryan-grant, NP is a pediatrics nurse practitioner in Jonesboro, GA. MRS. Sharon M Bryan-grant, NP NPI is 1659416691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

236 ARROWHEAD BLVD
JONESBORO, GA
ZIP 30236-106
Phone: (770) 478-9240
Fax: (770) 478-0318

The enumeration date for this NPI number is 2/20/2007 and was last updated on 4/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN158290	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	203042010B	MEDICAID	GEORGIA
2	203042010C	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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