Provider Demographics
NPI:1861575045
Name:BRITT, FRANKIE LYNETTE (FNP)
Entity type:Individual
Prefix:
First Name:FRANKIE
Middle Name:LYNETTE
Last Name:BRITT
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 1:1021 BEAMAN ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2343
Mailing Address - Country:US
Mailing Address - Phone:910-592-3569
Mailing Address - Fax:910-592-3525
Practice Address - Street 1:1021 BEAMAN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2343
Practice Address - Country:US
Practice Address - Phone:910-592-3569
Practice Address - Fax:910-592-3525
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201462363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000430Medicaid
NCP67109Medicare UPIN
NC2802617AMedicare PIN