Healthcare Provider Details

I. General information

NPI: 1447833140
Provider Name (Legal Business Name): BRITTANY IMANI SMITH APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SAINT CHARLES AVE STE 114
NEW ORLEANS LA
70170-0114
US

IV. Provider business mailing address

201 SAINT CHARLES AVE STE 114
NEW ORLEANS LA
70170-0114
US

V. Phone/Fax

Practice location:
  • Phone: 832-930-1688
  • Fax:
Mailing address:
  • Phone: 832-930-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number210531
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1165004
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: