Provider Demographics
NPI:1366874695
Name:PROCELL, BRITTANY A (NP-C)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:A
Last Name:PROCELL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 RALEIGH MOORE RD
Mailing Address - Street 2:
Mailing Address - City:ROBELINE
Mailing Address - State:LA
Mailing Address - Zip Code:71469-5864
Mailing Address - Country:US
Mailing Address - Phone:318-332-5371
Mailing Address - Fax:866-730-1560
Practice Address - Street 1:3360 RALEIGH MOORE RD
Practice Address - Street 2:
Practice Address - City:ROBELINE
Practice Address - State:LA
Practice Address - Zip Code:71469-5864
Practice Address - Country:US
Practice Address - Phone:318-352-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily