Provider Demographics
NPI:1477343226
Name:BUCKNER, BRITTANY ANN MICHELLE (MSN, RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN MICHELLE
Last Name:BUCKNER
Suffix:
Gender:
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 WEST ST
Mailing Address - Street 2:
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-2313
Mailing Address - Country:US
Mailing Address - Phone:641-519-0563
Mailing Address - Fax:
Practice Address - Street 1:213 WEST ST
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-2313
Practice Address - Country:US
Practice Address - Phone:641-519-0563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA183496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner