Provider Demographics
NPI:1144044413
Name:GOULD, BRITTNEY N (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:N
Last Name:GOULD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:BRITTNEY
Other - Middle Name:N
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5677 WYNCREEK CIR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8116
Mailing Address - Country:US
Mailing Address - Phone:410-713-0185
Mailing Address - Fax:
Practice Address - Street 1:5677 WYNCREEK CIR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8116
Practice Address - Country:US
Practice Address - Phone:410-713-0185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN273396363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health