Healthcare Provider Details

I. General information

NPI: 1922954650
Provider Name (Legal Business Name): BRITTANY ROBERTS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 MOUNTAIN VIEW DR
EASLEY SC
29640-2123
US

IV. Provider business mailing address

114 MOUNTAIN VIEW DR
EASLEY SC
29640-2123
US

V. Phone/Fax

Practice location:
  • Phone: 904-315-9338
  • Fax:
Mailing address:
  • Phone: 904-315-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number320106
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number263362
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: