| 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 |
|---|---|
| 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 |
| Entity Name | Georgia Mso Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952196164 PECOS PAC ID: 3173041639 Enrollment ID: O20250519001080 |
| 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 | |
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 | |
Irene Obiageri Ibenyenwa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Wooten Lake Rd Nw Ste 204, Kennesaw, GA 30144 Phone: 678-402-1389 Fax: 678-737-1729 | |
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 |