Provider Demographics
NPI:1427640564
Name:HOLCOMB, BRITTANY JEAN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:JEAN
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 BOONEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334-5508
Mailing Address - Country:US
Mailing Address - Phone:423-298-2364
Mailing Address - Fax:931-202-3403
Practice Address - Street 1:1931 WILSON PKWY STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334-3500
Practice Address - Country:US
Practice Address - Phone:931-330-2001
Practice Address - Fax:931-202-3403
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily