MEDICARE: MRS. BRITTANY H EDWARDS APRN, CPNP, IBCLC

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	163WL0100X	Lactation Consultant (Registered Nurse)	L-313395	GA
2	363LP0222X	Critical Care Pediatric Nurse Practitioner	RN193499	GA
3	363LP0200X	Pediatric Nurse Practitioner	RN193499	GA

General Provider Information

NPI Number	:	1467980649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY H EDWARDS APRN, CPNP, IBCLC

Provider Business Mailing Address
First Line	:	5343 HIGHLAND PINE LN
Second Line	:
City	:	MABLETON
State	:	GA
Zip	:	30126-5697
Country	:	US
Telephone Number	:	770-712-4138
Fax Number	:

Provider Business Practice Location Address
First Line	:	5343 HIGHLAND PINE LN
Second Line	:
City	:	MABLETON
State	:	GA
Zip	:	30126-5697
Country	:	US
Telephone Number	:	770-712-4138
Fax Number	:

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

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	02/07/2026

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