Individual provider · Type 1 NPI

Bryanna Dorothy Mulshenock, MSN, NP-C

Nurse Practitioner · Ponte Vedra Beach, FL

NPI number 1790268613 Active

Practice location

396 Seagrove Dr
Ponte Vedra Beach, FL 32081-1113

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN2266562 (MA)
Nurse Practitioner Primary 363L00000XRN2266562 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790268613

Bryanna Dorothy Mulshenock, MSN, NP-C's National Provider Identifier is 1790268613, issued on Sep 7, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Sep 11, 2026.