Provider Demographics
NPI:1326688185
Name:DEBOSE, BRITTNEY (RN)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:DEBOSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16016 LEMOYNE BLVD APT 912
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-5186
Mailing Address - Country:US
Mailing Address - Phone:228-243-9102
Mailing Address - Fax:
Practice Address - Street 1:16016 LEMOYNE BLVD APT 912
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-5186
Practice Address - Country:US
Practice Address - Phone:228-243-9102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-09
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness