Healthcare Provider Details

I. General information

NPI: 1699308510
Provider Name (Legal Business Name): BRITTANY ANN STEVENSON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S DIVISION ST STE C
SALISBURY MD
21804-6937
US

IV. Provider business mailing address

1300 S DIVISION ST STE C
SALISBURY MD
21804-6937
US

V. Phone/Fax

Practice location:
  • Phone: 443-944-6845
  • Fax:
Mailing address:
  • Phone: 443-944-8139
  • Fax: 443-288-4298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR218719
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR218719
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: