Mrs. Nicole E Bryan, RN, MSN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Fairfield, New Jersey
1548076912- Practice location
- 165 Passaic Ave, Fairfield, NJ 07004-3521
- Phone
- 800-413-8020
- Fax
- —
- Last updated
- July 16, 2026
Nicole Ellen Bryan is a Nurse Practitioner, Psych/Mental Health based in Fairfield, NJ. Nicole Ellen Bryan practices in Fairfield, NJ and has the professional credentials of RN, MSN, PMHNP-BC. The NPI Number for Nicole Ellen Bryan is 1548076912 and holds a License No. 26NJ15228500 (NJ). The current practice location address for Nicole Ellen Bryan is 165 Passaic Ave, Fairfield, NJ 07004-3521 and can be reached out via phone at 800-413-8020.
Provider Profile Details
- NPI Number
- 1548076912
- Provider Name
- Nicole Ellen Bryan
- Credential
- RN, MSN, PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 165 Passaic Ave, Fairfield, NJ 07004-3521
- Phone Number
- 800-413-8020
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 10, 2024
- Last Update Date
- July 16, 2026
- Certification Date
- July 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Passaic Ave
Fairfield, NJ 07004-3521 - City
- Fairfield
- State
- New Jersey
- Zip
- 07004-3521
- Phone Number
- 800-413-8020
Provider Business Mailing Address Details
- Address
- 165 Passaic Ave
Fairfield, NJ 07004-3521 - City
- Fairfield
- State
- NJ
- Zip
- 07004-3521
- Phone Number
- 800-413-8020
License Information
- License Number
- 26NJ15228500
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Nicole E Bryan, RN, MSN, PMHNP-BC?
The NPI number of Mrs. Nicole E Bryan, RN, MSN, PMHNP-BC is 1548076912. It was assigned on December 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Mrs. Nicole E Bryan, RN, MSN, PMHNP-BC?
Mrs. Nicole E Bryan, RN, MSN, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15228500.
Where does Mrs. Nicole E Bryan, RN, MSN, PMHNP-BC practice?
The practice location is 165 Passaic Ave, Fairfield, NJ 07004-3521. The office can be reached at 800-413-8020 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548076912 directly on the NPPES registry website.