Healthcare Provider Details

I. General information

NPI: 1235576372
Provider Name (Legal Business Name): BRITTANI LEDFORD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 CAMPUS PARK DR STE C
MONROE NC
28112-5284
US

IV. Provider business mailing address

3158 FREEDOM DR STE 3102
CHARLOTTE NC
28208-0014
US

V. Phone/Fax

Practice location:
  • Phone: 704-348-2992
  • Fax:
Mailing address:
  • Phone: 704-971-7099
  • Fax: 704-971-0035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5015044
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18356
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberAPRN18356
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: