Provider Demographics
NPI:1790286904
Name:BURRIS, BRITTANY LASHA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LASHA
Last Name:BURRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2200 ADA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-4984
Mailing Address - Country:US
Mailing Address - Phone:501-852-1360
Mailing Address - Fax:501-552-5316
Practice Address - Street 1:2200 ADA AVE STE 201
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4984
Practice Address - Country:US
Practice Address - Phone:501-852-1360
Practice Address - Fax:501-552-5316
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARA005495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily