Provider Demographics
NPI:1184195208
Name:LEWIS, BRITTANY B (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:B
Last Name:LEWIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:125 W GIBSON ST
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-1848
Mailing Address - Country:US
Mailing Address - Phone:706-376-6131
Mailing Address - Fax:
Practice Address - Street 1:125 W GIBSON ST
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-1848
Practice Address - Country:US
Practice Address - Phone:706-376-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN248391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN248391OtherFNP LICENSE