Provider Demographics
NPI:1871055632
Name:PROUDFIT, BRITTANY ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:PROUDFIT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227A SPRING CREEK LAW RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-6264
Mailing Address - Country:US
Mailing Address - Phone:731-613-6754
Mailing Address - Fax:
Practice Address - Street 1:500 HIGHWAY 51 S
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:TN
Practice Address - Zip Code:38063-4583
Practice Address - Country:US
Practice Address - Phone:731-635-9711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily