Healthcare Provider Details

I. General information

NPI: 1275969610
Provider Name (Legal Business Name): BRITTANY NICOLE POLLOCK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. BRITTANY NICOLE KITT

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

VIDANT MEDICAL CENTER 2100 STANTONSBURG RD.
GREENVILLE NC
27834
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2210
  • Fax: 202-741-2487
Mailing address:
  • Phone: 252-847-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA056369
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-07688
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA200001395
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: