MEDICARE: MISS BRITTNI LYNN WIGGINS 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	363LA2100X	Acute Care Nurse Practitioner	AWAITING	TN
2	363L00000X	Nurse Practitioner	3014852	KY

General Provider Information

NPI Number	:	1780969923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS BRITTNI LYNN WIGGINS NP

Provider Business Mailing Address
First Line	:	355 NEW SHACKLE ISLAND RD
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2479
Country	:	US
Telephone Number	:	615-338-1876
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 NEW SHACKLE ISLAND RD
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2479
Country	:	US
Telephone Number	:	615-338-1876
Fax Number	:

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

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	01/23/2024

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