Provider Demographics
NPI:1467980649
Name:EDWARDS, BRITTANY H (CPNP-AC/PC, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:H
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:CPNP-AC/PC, IBCLC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:J
Other - Last Name:HEMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5343 HIGHLAND PINE LN
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-5697
Mailing Address - Country:US
Mailing Address - Phone:770-712-4138
Mailing Address - Fax:
Practice Address - Street 1:1001 JOHNSON FY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1605
Practice Address - Country:US
Practice Address - Phone:404-785-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-313395174N00000X
GARN193499363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No174N00000XOther Service ProvidersLactation Consultant, Non-RN