MEDICARE: BRITTANY ANN PROUDFIT 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	25440	TN

General Provider Information

NPI Number	:	1871055632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ANN PROUDFIT FNP-C

Provider Business Mailing Address
First Line	:	257 BANCORP SOUTH PKWY
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-7582
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 W FOREST AVE FL 4
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38301-3937
Country	:	US
Telephone Number	:	731-541-0240
Fax Number	:	731-256-6895

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

Provider Enumeration Date	:	04/02/2019
Last Update Date	:	04/13/2026

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Directions to “ BRITTANY ANN PROUDFIT FNP-C” Practice Location

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