MEDICARE: MRS. JUDITH BERNER BRITTINGHAM NP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	0000042769	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275531246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDITH BERNER BRITTINGHAM NP

Provider Business Mailing Address
First Line	:	8273 STILL OAKS CV
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-9140
Country	:	US
Telephone Number	:	901-755-8273
Fax Number	:

Provider Business Practice Location Address
First Line	:	3175 LENOX PARK BLVD
Second Line	:	STE 412
City	:	MEMPHIS
State	:	TN
Zip	:	38115-4256
Country	:	US
Telephone Number	:	901-273-2350
Fax Number	:	901-273-2351

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/08/2007

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