Provider Demographics
NPI:1568170322
Name:DAVIDSON, BRITTANY (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 CAMP SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33875-6255
Mailing Address - Country:US
Mailing Address - Phone:716-341-1155
Mailing Address - Fax:
Practice Address - Street 1:524 CARLTON ST
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-3408
Practice Address - Country:US
Practice Address - Phone:863-767-8333
Practice Address - Fax:863-767-8334
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily