Provider Demographics
NPI:1942832951
Name:SULLINS, BRITNEY B (CRNP)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:B
Last Name:SULLINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 STIDHAM CIR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:AL
Mailing Address - Zip Code:35570-6959
Mailing Address - Country:US
Mailing Address - Phone:205-412-2427
Mailing Address - Fax:
Practice Address - Street 1:3805 SIPSEY ROAD
Practice Address - Street 2:
Practice Address - City:SIPSEY
Practice Address - State:AL
Practice Address - Zip Code:35584
Practice Address - Country:US
Practice Address - Phone:205-648-5337
Practice Address - Fax:205-648-5411
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-111162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily