Healthcare Provider Details

I. General information

NPI: 1356819338
Provider Name (Legal Business Name): BRITTANY LANE JAMISON APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 AVIATOR CT STE 250
VANDALIA OH
45377-9476
US

IV. Provider business mailing address

3170 KETTERING BLVD BLDG B3
MORAINE OH
45439-1924
US

V. Phone/Fax

Practice location:
  • Phone: 937-223-4900
  • Fax: 937-223-4420
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.023901
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: