Provider Demographics
NPI:1467980649
Name:EDWARDS, BRITTANY H (CPNP-AC/PC, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:H
Last Name:EDWARDS
Suffix:
Gender:
Credentials:CPNP-AC/PC, IBCLC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:J
Other - Last Name:HEMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5343 HIGHLAND PINE LN
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-5697
Mailing Address - Country:US
Mailing Address - Phone:770-712-4138
Mailing Address - Fax:
Practice Address - Street 1:1326 CONCORD RD SE STE A
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5309
Practice Address - Country:US
Practice Address - Phone:469-712-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAL-313395163WL0100X
GARN193499363LP0222X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care