NPI 1265192397
Jacqueline Renee Bryant
Practice location
- Address
- 1916 Vivian St, Shreveport, LA 71108-2234
- Phone
- (318) 946-0146
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1265192397
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Dec 2021
- Record last updated
- 30 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.