Provider Demographics
NPI:1154701894
Name:DAVIS, BRITTANY N (NP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:N
Last Name:DAVIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 COUNTY ROAD 4287
Mailing Address - Street 2:
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-8935
Mailing Address - Country:US
Mailing Address - Phone:361-549-8955
Mailing Address - Fax:
Practice Address - Street 1:7175 COUNTY ROAD 4287
Practice Address - Street 2:
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-8935
Practice Address - Country:US
Practice Address - Phone:361-549-8955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128216363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner