Healthcare Provider Details

I. General information

NPI: 1457014375
Provider Name (Legal Business Name): BRITTANY LYNN KESSLER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 AIRPORT BLVD STE 100
MOBILE AL
36609-1987
US

IV. Provider business mailing address

3929 AIRPORT BLVD STE 100
MOBILE AL
36609-1987
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-8044
  • Fax:
Mailing address:
  • Phone: 251-450-8044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-155120
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: