Provider Demographics
NPI:1578233284
Name:WORLEY, BRITTANY KIARA
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KIARA
Last Name:WORLEY
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 1:4301 CONFEDERATE POINT RD APT 143
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-5533
Mailing Address - Country:US
Mailing Address - Phone:904-294-5323
Mailing Address - Fax:
Practice Address - Street 1:4301 CONFEDERATE POINT RD APT 143
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-5533
Practice Address - Country:US
Practice Address - Phone:904-294-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL341106376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide