Healthcare Provider Details

I. General information

NPI: 1598265399
Provider Name (Legal Business Name): BRITTANY GABLE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY BROWN

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 WALKER RD STE B
JACKSON TN
38305-7417
US

IV. Provider business mailing address

409 WALKER RD STE B
JACKSON TN
38305-7417
US

V. Phone/Fax

Practice location:
  • Phone: 731-281-4786
  • Fax: 731-281-4823
Mailing address:
  • Phone: 731-281-4786
  • Fax: 731-281-4823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23843
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: