Provider Demographics
NPI:1376169920
Name:LINTON, BRITTANY (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LINTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:BULLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:259 RAYMOND PURVIS RD
Mailing Address - Street 2:
Mailing Address - City:PELAHATCHIE
Mailing Address - State:MS
Mailing Address - Zip Code:39145-3330
Mailing Address - Country:US
Mailing Address - Phone:601-953-2904
Mailing Address - Fax:
Practice Address - Street 1:149 FOUNTAINS BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-6344
Practice Address - Country:US
Practice Address - Phone:601-202-4779
Practice Address - Fax:601-202-4685
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903973363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner