Provider Demographics
NPI:1205486354
Name:COHEN, BRIANNE AUGUSTA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:AUGUSTA
Last Name:COHEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:BRIANNE
Other - Middle Name:AUGUSTA
Other - Last Name:JAHRLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:11301 LEONARDS RUN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4082
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5875 BREMO RD
Practice Address - Street 2:MOB SOUTH, SUITE 209
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-287-7804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178047363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner