Provider Demographics
NPI:1003683319
Name:HERRING, BRITNEY LILES (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:LILES
Last Name:HERRING
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 SE HIGHWAY 346
Mailing Address - Street 2:
Mailing Address - City:OLD TOWN
Mailing Address - State:FL
Mailing Address - Zip Code:32680-2429
Mailing Address - Country:US
Mailing Address - Phone:352-356-0436
Mailing Address - Fax:
Practice Address - Street 1:611 SE HIGHWAY 346
Practice Address - Street 2:
Practice Address - City:OLD TOWN
Practice Address - State:FL
Practice Address - Zip Code:32680-2429
Practice Address - Country:US
Practice Address - Phone:352-356-0436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily