Healthcare Provider Details

I. General information

NPI: 1053067637
Provider Name (Legal Business Name): BRITTANY MIZE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY MIZE FNP-BC

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2685 MILSCOTT DR
DECATUR GA
30033-5906
US

IV. Provider business mailing address

1930 BRANNAN RD
MCDONOUGH GA
30253-4310
US

V. Phone/Fax

Practice location:
  • Phone: 404-292-3727
  • Fax:
Mailing address:
  • Phone: 678-284-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-NP297652
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP297652
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: