Nurse Practitioner
360 CHRONIC CARE MANAGEMENT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1962260232 · enumerated 2024-03-11 · record updated 2025-06-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JUANETHEA BRYANTLORD MVHWC, Business Owner · (803) 243-1066
Addresses and phones
- Practice location 35 VARDEN DR STE A-1, AIKEN, SC, 29803-5275 (803) 243-1066 Fax (803) 226-0335 Google Maps Apple Maps OpenStreetMap
- Mailing address 35 VARDEN DR STE A-1, AIKEN, SC, 29803-5275 (803) 243-1066 Fax (803) 226-0335 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse, Case Management 163WC0400X
- Licensed Practical Nurse 164W00000X
- Registered Nurse, General Practice 163WG0000X
- Registered Nurse, Gerontology 163WG0600X
- Registered Nurse, Nutrition Support 163WN1003X
- Health & Wellness Coach 171400000X
- Family Medicine, Hospice and Palliative Medicine 207QH0002X
- Internal Medicine, Hospice and Palliative Medicine 207RH0002X
- Massage Therapist 225700000X
- Nurse Practitioner, Adult Health 363LA2200X
- Nurse Practitioner, Community Health 363LC1500X
- Nurse Practitioner, Gerontology 363LG0600X
- Nurse Practitioner, Primary Care 363LP2300X
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
AIKEN, SC, 298035275
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.