Healthcare Provider Details

I. General information

NPI: 1295685550
Provider Name (Legal Business Name): BRITTANY VANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 WILSON AVE
TULLAHOMA TN
37388-3357
US

IV. Provider business mailing address

176 VAN HAS LN
WINCHESTER TN
37398-4373
US

V. Phone/Fax

Practice location:
  • Phone: 931-434-0439
  • Fax:
Mailing address:
  • Phone: 256-613-1898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42069
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: