Basic Information
| Provider Information | |||||||||
| NPI: | 1407301567 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DYE | ||||||||
| FirstName: | BRITTANY | ||||||||
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| Credential: | FNP-C,PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2016 GREYSTONE SQ | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 383053575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7316641773 | ||||||||
| FaxNumber: | 7316641751 | ||||||||
| Practice Location | |||||||||
| Address1: | 11973 MACON RD STE 3 | ||||||||
| Address2: | |||||||||
| City: | COLLIERVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 380174879 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9014577929 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2016 | ||||||||
| LastUpdateDate: | 07/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 21574 | TN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LP0808X | 21574 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.