Provider Demographics
NPI:1942964705
Name:SHULTS, BRITTNEY ANNE (NP-C)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ANNE
Last Name:SHULTS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FRANKLIN DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-4526
Mailing Address - Country:US
Mailing Address - Phone:931-231-0967
Mailing Address - Fax:
Practice Address - Street 1:722 N MILITARY ST
Practice Address - Street 2:
Practice Address - City:LORETTO
Practice Address - State:TN
Practice Address - Zip Code:38469-2336
Practice Address - Country:US
Practice Address - Phone:931-853-4622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily