Healthcare Provider Details

I. General information

NPI: 1942861158
Provider Name (Legal Business Name): BRITTANI ELIZABETH BILLINGSLEY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1587 N BOLTON AVE
ALEXANDRIA LA
71303-4217
US

IV. Provider business mailing address

1587 N BOLTON AVE
ALEXANDRIA LA
71303-4217
US

V. Phone/Fax

Practice location:
  • Phone: 318-448-8905
  • Fax: 318-445-1509
Mailing address:
  • Phone: 318-448-8905
  • Fax: 318-445-1509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number206917
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: