Provider Demographics
NPI:1356936009
Name:BRIAR, JAMIE (FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:JAMIE
Middle Name:
Last Name:BRIAR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 N 4TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-4500
Mailing Address - Country:US
Mailing Address - Phone:515-238-6862
Mailing Address - Fax:
Practice Address - Street 1:2006 N 4TH ST STE 200
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-4500
Practice Address - Country:US
Practice Address - Phone:515-238-6862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA162680363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily