Provider Demographics
NPI:1316561715
Name:LANDRY, BRITTANY ELLIS (RNFA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ELLIS
Last Name:LANDRY
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:PAIGE
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA
Mailing Address - Street 1:3460 N. DOWLEN RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7690
Mailing Address - Country:US
Mailing Address - Phone:409-838-0346
Mailing Address - Fax:409-839-3720
Practice Address - Street 1:3460 N. DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7690
Practice Address - Country:US
Practice Address - Phone:409-838-0346
Practice Address - Fax:409-839-3720
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX920041163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX920041OtherREGISTERED NURSE LICENSE