Provider Demographics
NPI:1457782757
Name:BRITTAIN, ASHLEY GREENE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:GREENE
Last Name:BRITTAIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18731 ATOMIC RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:SC
Mailing Address - Zip Code:29831-3456
Mailing Address - Country:US
Mailing Address - Phone:803-471-2237
Mailing Address - Fax:803-471-2202
Practice Address - Street 1:18731 ATOMIC RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:SC
Practice Address - Zip Code:29831-3456
Practice Address - Country:US
Practice Address - Phone:803-471-2237
Practice Address - Fax:803-471-2202
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC201530163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool