Healthcare Provider Details

I. General information

NPI: 1609578095
Provider Name (Legal Business Name): BRITTANY STARLETTE HART NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 BRYANT ST
JACKSON TN
38301-3551
US

IV. Provider business mailing address

126 BRYANT ST
JACKSON TN
38301-3551
US

V. Phone/Fax

Practice location:
  • Phone: 731-437-9619
  • Fax:
Mailing address:
  • Phone: 731-437-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number38023
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number250996
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number38023
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number38023
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: