Provider Demographics
NPI:1689461071
Name:WILES, BRITTNAY ELIZABETH (FNP)
Entity type:Individual
Prefix:MS
First Name:BRITTNAY
Middle Name:ELIZABETH
Last Name:WILES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14524 CANTRELL RD STE 160
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4673
Mailing Address - Country:US
Mailing Address - Phone:501-482-3074
Mailing Address - Fax:
Practice Address - Street 1:14524 CANTRELL RD STE 160
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4673
Practice Address - Country:US
Practice Address - Phone:501-482-3074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR232545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily