Healthcare Provider Details

I. General information

NPI: 1902731979
Provider Name (Legal Business Name): BRITTANY GAIL BLANKENSHIP APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 CRANBERRY DR
BECKLEY WV
25801-8560
US

IV. Provider business mailing address

643 MCGRAWS RD
SAULSVILLE WV
25876-6000
US

V. Phone/Fax

Practice location:
  • Phone: 304-255-6404
  • Fax:
Mailing address:
  • Phone: 304-640-1716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number026053712
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: