Provider Demographics
NPI:1003635202
Name:CLOYD-THOMPSON, BRITTNEY JANAE'
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:JANAE'
Last Name:CLOYD-THOMPSON
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 1:2417 ELVANS RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3505
Mailing Address - Country:US
Mailing Address - Phone:240-413-2603
Mailing Address - Fax:
Practice Address - Street 1:2417 ELVANS RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3505
Practice Address - Country:US
Practice Address - Phone:240-413-2603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC27617493747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant