Most Relevant Information
Provider Data
| NPI Number: | 1003464215 |
| Provider Name: | LYNETTE WHALEY BRYANT |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11003879 |
Most Important Dates
| Enumeration Date: | 08/30/2019 |
| Last Updated: | 09/15/2023 |
Provider Practice Location
3100 17TH ST STE A
SAINT CLOUD
FL
347696021
Practice Location Phone/Fax
| Phone: | 4078920009 |
| Fax: |
Provider Mailing Location
3100 17TH ST STE A
SAINT CLOUD
FL
347696021
Provider Mailing Phone/Fax
| Phone: | 4078920009 |
| Fax: |