MEDICARE: MRS. BRITTANY LEA LOLLIS APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1097160	TX

General Provider Information

NPI Number	:	1306556683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY LEA LOLLIS APRN, FNP-C

Provider Business Mailing Address
First Line	:	1280 8TH AVE STE 300
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4131
Country	:	US
Telephone Number	:	817-912-9270
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 8TH AVE STE 300
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4131
Country	:	US
Telephone Number	:	817-912-9270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	12/15/2025

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