Provider Demographics
NPI:1932084670
Name:STEVENSON, BRITNEY (MS, NDTR, CD)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:MS, NDTR, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 FALLS CREEK LN APT 1
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-4792
Mailing Address - Country:US
Mailing Address - Phone:704-369-3802
Mailing Address - Fax:
Practice Address - Street 1:919 FALLS CREEK LN APT 1
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-4792
Practice Address - Country:US
Practice Address - Phone:704-369-3802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC136A00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered