Provider Demographics
NPI:1891513222
Name:SPRIGGS, BRIELLE
Entity type:Individual
Prefix:
First Name:BRIELLE
Middle Name:
Last Name:SPRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2564 US HIGHWAY 1 STE 121
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4100
Mailing Address - Country:US
Mailing Address - Phone:609-775-3843
Mailing Address - Fax:
Practice Address - Street 1:2564 US HIGHWAY 1 STE 121
Practice Address - Street 2:
Practice Address - City:LAWRENCE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08648-4100
Practice Address - Country:US
Practice Address - Phone:609-775-3843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP07670200164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse