Provider Demographics
NPI:1851011308
Name:DICKEY, BRITTNEY PAIGE
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:PAIGE
Last Name:DICKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10375 COUNTY ROAD 47
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35634-3917
Mailing Address - Country:US
Mailing Address - Phone:931-629-8794
Mailing Address - Fax:
Practice Address - Street 1:1701 COLE AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4900
Practice Address - Country:US
Practice Address - Phone:256-629-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-177143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily