Provider Demographics
NPI:1063785251
Name:BAPTISTE, BRYANNA MARIE (NP)
Entity type:Individual
Prefix:
First Name:BRYANNA
Middle Name:MARIE
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 HOPKINS ST SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-1639
Mailing Address - Country:US
Mailing Address - Phone:508-922-4177
Mailing Address - Fax:
Practice Address - Street 1:389 HOPKINS ST SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-1639
Practice Address - Country:US
Practice Address - Phone:404-482-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010945363LP0808X, 363L00000X
GARN333031363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner