Provider Demographics
NPI:1245879147
Name:HACKNEY, BRITTANY LAINE (FNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LAINE
Last Name:HACKNEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:281-724-8334
Mailing Address - Fax:281-724-0490
Practice Address - Street 1:600 N KOBAYASHI STE 211
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:281-724-8334
Practice Address - Fax:281-724-0490
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142862363LF0000X
TXF08190322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily