Healthcare Provider Details

I. General information

NPI: 1366250193
Provider Name (Legal Business Name): BRITTNEY HOLMES LM,CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8672 FLOORSTONE MILL DR
JACKSONVILLE FL
32244-2497
US

IV. Provider business mailing address

8672 FLOORSTONE MILL DR
JACKSONVILLE FL
32244-2497
US

V. Phone/Fax

Practice location:
  • Phone: 904-982-5212
  • Fax:
Mailing address:
  • Phone: 904-982-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW483
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: