Provider Demographics
NPI:1295512457
Name:PEYTON, BRITTNEY MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MARIE
Last Name:PEYTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 STUBBS LN
Mailing Address - Street 2:
Mailing Address - City:BASSFIELD
Mailing Address - State:MS
Mailing Address - Zip Code:39421-4300
Mailing Address - Country:US
Mailing Address - Phone:601-455-2352
Mailing Address - Fax:
Practice Address - Street 1:529 LAKE ST STE B
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:MS
Practice Address - Zip Code:39083-2226
Practice Address - Country:US
Practice Address - Phone:601-623-9245
Practice Address - Fax:601-623-9246
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906269363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily