Provider Demographics
NPI:1386246080
Name:BYNUM, BRITNEY (FNP)
Entity type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:
Last Name:BYNUM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5475 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-1647
Mailing Address - Country:US
Mailing Address - Phone:219-455-5860
Mailing Address - Fax:219-999-9240
Practice Address - Street 1:5475 BROADWAY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-1647
Practice Address - Country:US
Practice Address - Phone:800-318-2900
Practice Address - Fax:199-999-9244
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28217044A363LF0000X, 163WC0400X, 163WC1500X, 163WC1600X, 163WH0200X, 163WI0600X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control