Individual
BRITTNEY EVETTE BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 PINE GROVE CHURCH RD, FOXWORTH, MS 39483-3269
(601) 731-4504
Mailing address
500 PINE GROVE CHURCH RD, FOXWORTH, MS 39483-3269
(601) 731-4504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
901723
MS
363LF0000X
Family Nurse Practitioner
Primary
901723
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05954541
—
MS
Enumeration date
11/16/2016
Last updated
11/15/2021
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