BRITTANY CHARLENE WICKWARE (NPI# 1053802926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053802926 |
| Entity Type | Individual |
| Full Name | BRITTANY CHARLENE WICKWARE |
| Credential | CRNP |
| Practice Address |
28490 2nd St Ste B Daphne AL 36526-7150 |
| Mailing Address |
30417 Pinyon Dr Spanish Fort AL 36527-8727 |
| Practice Telephone | 2513089800 |
| Practice Fax Number | 8774135104 |
| Mailing Telephone | 2512331075 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-127339 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11000136 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-127339 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Montlimar Dr, Mobile, AL 366091705 | 2513435263 | 2513445348 |
| 6631 Park Dr, Daphne, AL 365265227 | 2516265703 | 2516265703 |
| 10040 County Road 48, Fairhope, AL 365324520 | 2512206780 | |
| 5235 Rangeline Service Rd S, Mobile, AL 366199541 | 2512207281 | 2515446440 |
| 4457 Bayou Blvd, Pensacola, FL 325032601 | 8502266801 | 8774135104 |
| 750 Morphy Ave, Fairhope, AL 365321899 | 2519282375 | |
| 27961 Us Highway 98 Ste 21, Daphne, AL 365264725 | 2516266646 | |
| 1613 N Mckenzie St, Foley, AL 365352247 | 2519493400 |
| Street Address |
28490 2ND ST STE B |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-7150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1568091379 | Sally Hale Gantt | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526-7150 | 2020-04-03 |
| 1235785999 | Amanda Wiggins Grigg | Nurse Practitioner | 28490 2nd St Ste B, Daphne, AL 36526-7150 | 2019-08-17 |
| 1427610351 | Batisia Lexzondria Lewis | Nurse Practitioner | 28490 2nd St Ste B, Daphne, AL 36526 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| 1811248941 | Leah Patrick | Counselor | 7400 Roper Lane, Daphne, AL 36526 | 2012-09-28 |
| Find all providers in zip 36526 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124413661 | Tawanda Williamson | Nurse Practitioner | 912 Van Ave Apt 1012, Daphne, AL 36526-8617 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250249 | Marnita Monique Stallworth | Nurse Practitioner | 3937 Harmony Ridge Cir W, Semmes, AL 36575-5282 | 2020-09-16 |
| 1427676584 | Julie Danielle Laird | Nurse Practitioner | 453 Sandstone Dr, Dothan, AL 36303-7313 | 2020-07-06 |
| 1619591468 | Cartney Michelle Kesten | Nurse Practitioner | 14006 Percivale Dr Se, Huntsville, AL 35803-1868 | 2020-06-07 |
| 1235764069 | Bianca A Norris | Nurse Practitioner | 7000 Adventist Blvd Nursing Department, Huntsville, AL 35896-0001 | 2020-03-12 |
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| 1578193892 | Heather Dawn Battles | Nurse Practitioner | 9785 Us Highway 278 W, Altoona, AL 35952-7771 | 2020-01-26 |
| 1548806540 | Hailey Hammond | Nurse Practitioner | 3101 26th Ave, Northport, AL 35476-5236 | 2019-11-25 |
| 1619511367 | Sarah Ashley Freeman | Nurse Practitioner | 363 Riverside Dr, Gadsden, AL 35903-2945 | 2019-11-05 |
| 1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
| 1891250262 | Corrie Graveman | Nurse Practitioner | 7070 Taylors Ferry Rd, Bessemer, AL 35023-5565 | 2019-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.