Provider Demographics
NPI:1588349039
Name:BURKE, BRITNEY HOPE
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:HOPE
Last Name:BURKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 OAK LEAF CT
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-9330
Mailing Address - Country:US
Mailing Address - Phone:850-699-0731
Mailing Address - Fax:
Practice Address - Street 1:1925 AVENUE E
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35218-1619
Practice Address - Country:US
Practice Address - Phone:205-788-5164
Practice Address - Fax:205-788-5167
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-157600163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse