Provider Demographics
NPI:1023984796
Name:NIXON, BRITTANY SHANTEL
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SHANTEL
Last Name:NIXON
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 1:1504 MANNING FOREST DR APT B8
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6248
Mailing Address - Country:US
Mailing Address - Phone:252-717-8580
Mailing Address - Fax:
Practice Address - Street 1:1504 MANNING FOREST DR APT B8
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6248
Practice Address - Country:US
Practice Address - Phone:252-717-8580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier