Provider Demographics
NPI:1417794132
Name:KING, BRITTANY LYNN (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:KING
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ROSEMAR CIR
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-1203
Mailing Address - Country:US
Mailing Address - Phone:304-422-7999
Mailing Address - Fax:681-661-0257
Practice Address - Street 1:7 ROSEMAR CIR
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-1203
Practice Address - Country:US
Practice Address - Phone:304-422-7999
Practice Address - Fax:681-661-0257
Is Sole Proprietor?:No
Enumeration Date:2024-07-10
Last Update Date:2024-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH373301163W00000X
WV82730163W00000X
WV120335363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty