MRS. KELLEY BRYAN LPN
NPI 1629506589
Licensed Practical Nurse in Chantilly, VA

Active since May 23, 2017
14121 PARKE LONG CT, CHANTILLY, VA 20151(904) 521-4629 Get Directions Write a Review

NPPES record last updated: May 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About KELLEY BRYAN

This page provides the complete NPI Profile along with additional information for Kelley Bryan, a provider established in Chantilly, Virginia with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1629506589 assigned on May 2017. The practitioner's primary taxonomy code is 164W00000X with license number 0002088968 (VA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1629506589 Verify this NPI
Provider Name
MRS. KELLEY BRYAN LPN
Gender
Female
Entity Type
Individual
Location Address
14121 PARKE LONG CT CHANTILLY, VA 20151
Location Phone
(904) 521-4629
Mailing Address
14121 PARKE LONG CT CHANTILLY, VA 20151
Mailing Phone
(904) 521-4629
Is Sole Proprietor?
Yes
Enumeration Date
05-23-2017
Last Update Date
05-23-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
0002088968
License State
VA
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151
Clinical Medical Laboratory
14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151
Nurse Practitioner (Adult Health)
14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITES 200 & 201
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Adult Health)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Adult Health)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Registered Nurse (Case Management)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629506589, enumerated as an "individual" on May 23, 2017.

The provider is located at 14121 PARKE LONG CT CHANTILLY, VA 20151 and the phone number is (904) 521-4629.

Licensed Practical Nurse with taxonomy code 164W00000X.