Healthcare Provider Details

I. General information

NPI: 1437012796
Provider Name (Legal Business Name): BRITTANY JANAE JONES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 BALEIGH DR
CANTON MS
39046-1270
US

IV. Provider business mailing address

204 BALEIGH DR
CANTON MS
39046-1270
US

V. Phone/Fax

Practice location:
  • Phone: 601-720-8921
  • Fax:
Mailing address:
  • Phone: 601-720-8921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number907917
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: