Provider Demographics
NPI:1437896123
Name:ADCOCK, BRITTANY ELLIS (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ELLIS
Last Name:ADCOCK
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 RUE VERAND
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2151
Mailing Address - Country:US
Mailing Address - Phone:985-643-0674
Mailing Address - Fax:985-605-5518
Practice Address - Street 1:900 RUE VERAND
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2151
Practice Address - Country:US
Practice Address - Phone:985-643-0674
Practice Address - Fax:985-605-5518
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN139318163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool