Provider Demographics
NPI:1154738839
Name:JEWELL, BRITTANY HOPE (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:HOPE
Last Name:JEWELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:HOPE
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3810 CENTRAL PIKE
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3494
Mailing Address - Country:US
Mailing Address - Phone:304-252-2673
Mailing Address - Fax:304-929-2350
Practice Address - Street 1:508 NEW HOPE RD STE 102
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2265
Practice Address - Country:US
Practice Address - Phone:304-487-9100
Practice Address - Fax:304-487-9311
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV756363AM0700X
WV01814363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant