Provider Demographics
NPI:1205453164
Name:KIRKPATRICK, BRITTNEY TOLLES (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:TOLLES
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:MISS
Other - First Name:BRITTNEY
Other - Middle Name:ANNE
Other - Last Name:TOLLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 742616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:
Practice Address - Street 1:200 S ENOTA DR NE STE 380
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3475
Practice Address - Country:US
Practice Address - Phone:770-219-7099
Practice Address - Fax:770-219-7923
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN222502363LA2100X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care