Healthcare Provider Details

I. General information

NPI: 1184395659
Provider Name (Legal Business Name): BRITTANY JORDAN PIERCE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 S HIGHWAY 27
STEARNS KY
42647-6297
US

IV. Provider business mailing address

2157 S HIGHWAY 27
STEARNS KY
42647-6297
US

V. Phone/Fax

Practice location:
  • Phone: 606-376-9700
  • Fax:
Mailing address:
  • Phone: 606-376-9700
  • Fax: 606-376-9703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3016736
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: