Provider Demographics
NPI:1952707465
Name:BRION, JOHN MAURICE JR (PHD, PMH NP)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MAURICE
Last Name:BRION
Suffix:JR
Gender:M
Credentials:PHD, PMH NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 OAK PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9111
Mailing Address - Country:US
Mailing Address - Phone:614-632-6090
Mailing Address - Fax:
Practice Address - Street 1:209 LLOYD ST STE 260
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1856
Practice Address - Country:US
Practice Address - Phone:919-200-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2022-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH224669363LP0808X
NC5008822363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health