Basic Information
Provider Information
NPI: 1598899692
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRYANT
FirstName: JAYNE
MiddleName: A
NamePrefix: MRS.
NameSuffix:  
Credential: R. N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STEINBEISER
OtherFirstName: JAYNE
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 2929 CALDER ST
Address2: SUITE 100
City: BEAUMONT
State: TX
PostalCode: 777021845
CountryCode: US
TelephoneNumber: 4098339797
FaxNumber: 4098393174
Practice Location
Address1: 3570 COLLEGE ST
Address2: SUITE 200
City: BEAUMONT
State: TX
PostalCode: 777014683
CountryCode: US
TelephoneNumber: 4098339797
FaxNumber: 4098393174
Other Information
ProviderEnumerationDate: 03/14/2007
LastUpdateDate: 09/16/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X603103TXY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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