Provider Demographics
NPI:1780710525
Name:JONES BRYANT, SUZANNE ELAINE (NP)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:ELAINE
Last Name:JONES BRYANT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ELAINE
Other - Middle Name:JONES
Other - Last Name:BRYANT RN066415
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, WHNP
Mailing Address - Street 1:201 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2144
Mailing Address - Country:US
Mailing Address - Phone:478-751-6303
Mailing Address - Fax:478-751-6099
Practice Address - Street 1:123 HIGH HILL ST
Practice Address - Street 2:
Practice Address - City:IRWINTON
Practice Address - State:GA
Practice Address - Zip Code:31042-2611
Practice Address - Country:US
Practice Address - Phone:478-946-2226
Practice Address - Fax:478-946-2180
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN 066415 NP363L00000X
GARN066415363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner