Mrs Marrissa Lynn Bryan, MSN, APRN, FNP-C | |
1780 Old Highway 41 Nw, Kennesaw, GA 30152-4428 | |
(770) 427-7256 | |
Not Available |
Full Name | Mrs Marrissa Lynn Bryan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1780 Old Highway 41 Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558964684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN249699 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN249699 (Georgia) | Primary |
Entity Name | Medical Director Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
Entity Name | Hardy Renew Wellness,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marrissa Lynn Bryan, MSN, APRN, FNP-C 1079 Kingston Hwy, Kingston, GA 30145-1905 Ph: (470) 232-5995 | Mrs Marrissa Lynn Bryan, MSN, APRN, FNP-C 1780 Old Highway 41 Nw, Kennesaw, GA 30152-4428 Ph: (770) 427-7256 |
Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827 | |
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144 Phone: 404-324-9413 | |
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000 | |
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205 | |
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181 | |
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273 | |
Nilomee Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152 Phone: 770-738-7560 |