Provider Demographics
NPI:1548928815
Name:O'TOOLE, BRITTANY ELAINE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ELAINE
Last Name:O'TOOLE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:BRITTANY
Other - Middle Name:ELAINE
Other - Last Name:O'TOOLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:13570 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:GA
Mailing Address - Zip Code:30752-2012
Mailing Address - Country:US
Mailing Address - Phone:706-956-2665
Mailing Address - Fax:706-657-2958
Practice Address - Street 1:11638 HIGHWAY 27 STE 8
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:GA
Practice Address - Zip Code:30747-8515
Practice Address - Country:US
Practice Address - Phone:706-907-0932
Practice Address - Fax:706-657-2958
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-03
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN239179163WH1000X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care