Provider Demographics
NPI:1982292637
Name:LITTLEJOHN, BRYANA ESSENCE (RN)
Entity Type:Individual
Prefix:
First Name:BRYANA
Middle Name:ESSENCE
Last Name:LITTLEJOHN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CANYON VIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-6089
Mailing Address - Country:US
Mailing Address - Phone:216-785-3062
Mailing Address - Fax:
Practice Address - Street 1:20 CANYON VIEW DR
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6089
Practice Address - Country:US
Practice Address - Phone:216-785-3062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN273218163WH0200X, 163WI0500X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy