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Contact Information

TINA BRYANT, APRN
1000 ACE DR
BEREA, KY40403-1327
 Phone: 859-756-5006
 Fax: 859-817-4792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for TINA BRYANT · (Female)

NPI # 1679117493
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 11/05/2019
Last updated 11/24/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • KY License # 1156977
  • KY License # 3016722
  • KY Medicaid 1790731081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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