Healthcare Provider Details

I. General information

NPI: 1255702056
Provider Name (Legal Business Name): BRITTNEY ESHELMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 10/09/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5735 MEEKER RD
GREENVILLE OH
45331-1180
US

IV. Provider business mailing address

105 E WARD ST
VERSAILLES OH
45380-1429
US

V. Phone/Fax

Practice location:
  • Phone: 937-548-9680
  • Fax: 937-548-8263
Mailing address:
  • Phone: 419-705-9561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number025631
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number025631
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: