Healthcare Provider Details

I. General information

NPI: 1275219909
Provider Name (Legal Business Name): BRITTNEY DRAKE YEARGIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 SINGLE TREE DR
CLARKSVILLE TN
37040-6573
US

IV. Provider business mailing address

2116 SINGLE TREE DR
CLARKSVILLE TN
37040-6573
US

V. Phone/Fax

Practice location:
  • Phone: 706-988-0200
  • Fax:
Mailing address:
  • Phone: 706-988-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024187396
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: