Provider Demographics
NPI:1871933978
Name:BARBER, BRITTANY SUSAN (ARNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SUSAN
Last Name:BARBER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MARSH COVE LN
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-1694
Mailing Address - Country:US
Mailing Address - Phone:904-303-6234
Mailing Address - Fax:904-389-1082
Practice Address - Street 1:700 MARSH COVE LN
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-1694
Practice Address - Country:US
Practice Address - Phone:904-303-6234
Practice Address - Fax:904-389-1082
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN92796792084P0800X
FLARNP9269679363LF0000X
FLAPRN9269679363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003135522AMedicaid
FL009050700Medicaid
FL009050700Medicaid
FLP01429636Medicare PIN