Provider Demographics
NPI:1356168710
Name:COMBS, BRITTANY JENINNE (RN)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:JENINNE
Last Name:COMBS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:JENINNE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46050-9735
Mailing Address - Country:US
Mailing Address - Phone:765-438-0871
Mailing Address - Fax:
Practice Address - Street 1:1701 S CREASY LN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4972
Practice Address - Country:US
Practice Address - Phone:765-502-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28195492A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse