Provider Demographics
NPI:1508652249
Name:VERNON, ALYSSA BRIANA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:BRIANA
Last Name:VERNON
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 SHAVER LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-7806
Mailing Address - Country:US
Mailing Address - Phone:480-584-2361
Mailing Address - Fax:
Practice Address - Street 1:638 E 87TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90002-1013
Practice Address - Country:US
Practice Address - Phone:480-584-2361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily