Provider Demographics
NPI:1811452709
Name:MOSLEY, BRITTANY ANNE (APRN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANNE
Last Name:MOSLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANNE
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1165 VAUGHN RD
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32464-2030
Mailing Address - Country:US
Mailing Address - Phone:702-596-0547
Mailing Address - Fax:
Practice Address - Street 1:1045 US HIGHWAY 331 N
Practice Address - Street 2:STE D
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32433-4664
Practice Address - Country:US
Practice Address - Phone:850-863-8100
Practice Address - Fax:850-863-8548
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001291363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care