Provider Demographics
NPI:1336030667
Name:SMITH, BRIANNA KATLIN (FNP-C, APRN)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:KATLIN
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 EASY WIND DR UNIT 2056
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-2157
Mailing Address - Country:US
Mailing Address - Phone:931-237-4629
Mailing Address - Fax:
Practice Address - Street 1:4700 E 56TH ST STE 100
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2904
Practice Address - Country:US
Practice Address - Phone:563-421-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily