Individual
JESSICA DIANN BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACAG-NP
Contact information
Practice address
2501 LAKEVIEW DR, AMARILLO, TX 79109-1531
(806) 358-9400
Mailing address
2501 LAKEVIEW DR, AMARILLO, TX 79109-1531
(806) 350-8277
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
804657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804657
TEXAS BON
TX
Enumeration date
05/30/2019
Last updated
01/04/2022
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