Provider Demographics
NPI:1306618202
Name:STALLINGS, BRIANNA (FNP-C)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:STALLINGS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 SAM ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6508
Mailing Address - Country:US
Mailing Address - Phone:214-675-4533
Mailing Address - Fax:
Practice Address - Street 1:110 HIGHWAY 287 N STE 106
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3861
Practice Address - Country:US
Practice Address - Phone:469-898-0065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine