Provider Demographics
NPI:1790340529
Name:HARRINGTON, BRITTANI AXIE (FNP)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:AXIE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:BRITTANI
Other - Middle Name:AXIE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:DERMOTT
Mailing Address - State:AR
Mailing Address - Zip Code:71638-0509
Mailing Address - Country:US
Mailing Address - Phone:870-538-5414
Mailing Address - Fax:870-538-5412
Practice Address - Street 1:203 MCCOMBS ST
Practice Address - Street 2:
Practice Address - City:WILMOT
Practice Address - State:AR
Practice Address - Zip Code:71676-8800
Practice Address - Country:US
Practice Address - Phone:870-473-2274
Practice Address - Fax:855-861-1854
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily