Provider Demographics
NPI:1659890945
Name:BRAKEFIELD, BRITTANY LEIGH (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LEIGH
Last Name:BRAKEFIELD
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 1:3809 SULLIVAN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2366
Mailing Address - Country:US
Mailing Address - Phone:256-428-1096
Mailing Address - Fax:256-428-1098
Practice Address - Street 1:3809 SULLIVAN ST STE 7
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2366
Practice Address - Country:US
Practice Address - Phone:256-428-1096
Practice Address - Fax:256-428-1098
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-141909363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily