Provider Demographics
NPI:1295230274
Name:KERSH, BRITNEY DEON (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:DEON
Last Name:KERSH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:DEON
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1314 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-4116
Mailing Address - Country:US
Mailing Address - Phone:601-703-4282
Mailing Address - Fax:
Practice Address - Street 1:4331 HIGHWAY 39 N
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-1007
Practice Address - Country:US
Practice Address - Phone:601-484-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily