=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902731979
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANY GAIL BLANKENSHIP APRN, FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/12/2026
-----------------------------------------------------
Last Update Date | 06/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 456 CRANBERRY DR
-----------------------------------------------------
City | BECKLEY
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25801-8560
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-255-6404
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 643 MCGRAWS RD
-----------------------------------------------------
City | SAULSVILLE
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25876-6000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-640-1716
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0002X
-----------------------------------------------------
Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | 026053712
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------