Healthcare Provider Details

I. General information

NPI: 1710789284
Provider Name (Legal Business Name): BRITTANY LEIGH ARNOLD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7824 HIGHWAY 90
SNEADS FL
32460-2232
US

IV. Provider business mailing address

7824 HIGHWAY 90
SNEADS FL
32460-2232
US

V. Phone/Fax

Practice location:
  • Phone: 850-209-5536
  • Fax:
Mailing address:
  • Phone: 850-209-5536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11037009
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11037009
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11037009
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11037009
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: