Basic Information
Provider Information
NPI: 1760954051
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGLEY
FirstName: BRITTNEY
MiddleName: LEIGH
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, APRN, NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 382 AYERS RD
Address2:  
City: VIENNA
State: GA
PostalCode: 310928153
CountryCode: US
TelephoneNumber: 2299427256
FaxNumber:  
Practice Location
Address1: 110 E 4TH AVE
Address2:  
City: CORDELE
State: GA
PostalCode: 310153210
CountryCode: US
TelephoneNumber: 2292763100
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/26/2018
LastUpdateDate: 03/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XNCO-000001GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
163WA2000XRN216086GAN Nursing Service ProvidersRegistered NurseAdministrator

No ID Information.


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