Provider Demographics
NPI:1952878951
Name:BRITT, NICOLE H
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:H
Last Name:BRITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 PAUL WILLOUGHBY RD
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:NC
Mailing Address - Zip Code:28438-6001
Mailing Address - Country:US
Mailing Address - Phone:910-316-4352
Mailing Address - Fax:
Practice Address - Street 1:282 FLOWERS PRIDGEN RD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-9110
Practice Address - Country:US
Practice Address - Phone:910-640-5035
Practice Address - Fax:910-640-3036
Is Sole Proprietor?:No
Enumeration Date:2018-10-28
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBRIT-S6PTRY363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily