Provider Demographics
NPI:1306687868
Name:MCGEE, BRITTANY TIARA (NP-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:TIARA
Last Name:MCGEE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 KIRKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-5970
Mailing Address - Country:US
Mailing Address - Phone:601-331-0730
Mailing Address - Fax:
Practice Address - Street 1:229 KIRKWOOD DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5970
Practice Address - Country:US
Practice Address - Phone:601-331-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily