Individual
BRITTNEY BARNWELL FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3016771
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055833
—
IN
05
—
7100773740
—
KY
Enumeration date
09/13/2021
Last updated
10/18/2023
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