Healthcare Provider Details

I. General information

NPI: 1245752419
Provider Name (Legal Business Name): BRITTANY LYNN BRUMFIELD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 11/16/2024
Certification Date: 11/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15756 MEDICAL ARTS DR
HAMMOND LA
70403-1446
US

IV. Provider business mailing address

PO BOX 2668 BUSINESS CTR - INS CREDENTIALING
HAMMOND LA
70404
US

V. Phone/Fax

Practice location:
  • Phone: 985-318-6599
  • Fax: 985-318-1386
Mailing address:
  • Phone: 985-230-1682
  • Fax: 985-230-6652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF12191073
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN126431
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: