Provider Demographics
NPI:1336885391
Name:DAVIS, BRITTANY LYNN (CHHC, CHN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CHHC, CHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6755 SUNDOWN LN
Mailing Address - Street 2:
Mailing Address - City:PARKTON
Mailing Address - State:NC
Mailing Address - Zip Code:28371-8886
Mailing Address - Country:US
Mailing Address - Phone:910-309-0610
Mailing Address - Fax:
Practice Address - Street 1:6755 SUNDOWN LN
Practice Address - Street 2:
Practice Address - City:PARKTON
Practice Address - State:NC
Practice Address - Zip Code:28371-8886
Practice Address - Country:US
Practice Address - Phone:910-309-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist