Provider Demographics
NPI:1366250193
Name:HOLMES, BRITTNEY (LM,CPM)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LM,CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8672 FLOORSTONE MILL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-2497
Mailing Address - Country:US
Mailing Address - Phone:904-982-5212
Mailing Address - Fax:
Practice Address - Street 1:8672 FLOORSTONE MILL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-2497
Practice Address - Country:US
Practice Address - Phone:904-982-5212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW483176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife