Healthcare Provider Details

I. General information

NPI: 1366028813
Provider Name (Legal Business Name): BRITTNEY NICOLE BARNES-BLOUNT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6457 ALAN LINTON BLVD E
FREDERICK MD
21703-7361
US

IV. Provider business mailing address

6457 ALAN LINTON BLVD E
FREDERICK MD
21703-7361
US

V. Phone/Fax

Practice location:
  • Phone: 240-994-3962
  • Fax:
Mailing address:
  • Phone: 337-991-9276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR193310
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number108726
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: