Healthcare Provider Details

I. General information

NPI: 1720836687
Provider Name (Legal Business Name): BRITTANY SHINGLETON APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 01/21/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 CEDAR ST
KUTTAWA KY
42055-6287
US

IV. Provider business mailing address

1413 STATE ROUTE 810 N
KUTTAWA KY
42055-5765
US

V. Phone/Fax

Practice location:
  • Phone: 270-601-4235
  • Fax: 270-350-4673
Mailing address:
  • Phone: 931-510-0597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4018759
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: