Provider Demographics
NPI:1912693888
Name:BRITTON, JAMECKA DE'LEON (FNP)
Entity Type:Individual
Prefix:
First Name:JAMECKA
Middle Name:DE'LEON
Last Name:BRITTON
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 1:148 CRANAPPLE LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-7779
Mailing Address - Country:US
Mailing Address - Phone:901-503-2639
Mailing Address - Fax:
Practice Address - Street 1:3050 POST OAK BLVD STE 510
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6512
Practice Address - Country:US
Practice Address - Phone:832-295-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1126903207Q00000X
GARN268660207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine