Provider Demographics
NPI:1891171039
Name:HOLMES-MORRIS, TANYA MARIE
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:MARIE
Last Name:HOLMES-MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 WEST MT. OLIVE RD
Mailing Address - Street 2:
Mailing Address - City:TYLERTOWN
Mailing Address - State:MS
Mailing Address - Zip Code:39667
Mailing Address - Country:US
Mailing Address - Phone:601-303-5409
Mailing Address - Fax:601-222-1759
Practice Address - Street 1:42 WEST MT. OLIVE RD
Practice Address - Street 2:
Practice Address - City:TYLERTOWN
Practice Address - State:MS
Practice Address - Zip Code:39667
Practice Address - Country:US
Practice Address - Phone:601-303-5409
Practice Address - Fax:601-222-1759
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No174H00000XOther Service ProvidersHealth Educator
No374U00000XNursing Service Related ProvidersHome Health Aide