Healthcare Provider Details

I. General information

NPI: 1295512457
Provider Name (Legal Business Name): BRITTNEY MARIE PEYTON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 GREEN ST N
MONTICELLO MS
39654-8527
US

IV. Provider business mailing address

134 GREEN ST N
MONTICELLO MS
39654-8527
US

V. Phone/Fax

Practice location:
  • Phone: 601-455-2352
  • Fax:
Mailing address:
  • Phone: 601-455-2352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number906269
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: