MEDICARE: BRITTANY SHANTEL NIXON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	335E00000X	Prosthetic/Orthotic Supplier
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1023984796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY SHANTEL NIXON

Provider Business Mailing Address
First Line	:	1504 MANNING FOREST DR APT B8
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-6248
Country	:	US
Telephone Number	:	252-493-6727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 MANNING FOREST DR APT B8
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-6248
Country	:	US
Telephone Number	:	252-717-8580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	11/17/2025

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Directions to “ BRITTANY SHANTEL NIXON ” Practice Location

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