Provider Demographics
NPI:1568987295
Name:CARTER, BRITTANY LORETTA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LORETTA
Last Name:CARTER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LORETTA
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:1 PELICAN CV
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1228
Mailing Address - Country:US
Mailing Address - Phone:912-441-5772
Mailing Address - Fax:
Practice Address - Street 1:455 S MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4354
Practice Address - Country:US
Practice Address - Phone:912-876-6868
Practice Address - Fax:912-876-6566
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA233001208000000X
GARN233001163W00000X
GANCO-000003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily