Provider Demographics
NPI:1356894000
Name:BARHAM, BRITTANY LEWIS (FNP-C)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LEWIS
Last Name:BARHAM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:115 BROOKSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-1213
Mailing Address - Country:US
Mailing Address - Phone:864-915-0467
Mailing Address - Fax:
Practice Address - Street 1:429 ROPER MOUNTAIN RD STE 700
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4261
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-29
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008777363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily