Provider Demographics
NPI:1356341820
Name:BRITT, JANET LEONE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LEONE
Last Name:BRITT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 ALBERMARLE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NC
Mailing Address - Zip Code:27371-8684
Mailing Address - Country:US
Mailing Address - Phone:910-572-1785
Mailing Address - Fax:910-572-1410
Practice Address - Street 1:1038 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NC
Practice Address - Zip Code:27371-8685
Practice Address - Country:US
Practice Address - Phone:910-572-1785
Practice Address - Fax:910-572-2723
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2799537EMedicare PIN
NCS21326Medicare UPIN