Individual
ADRIENNE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPN
Contact information
Practice address
107 SAINT FRANCIS DR, PHILADELPHIA, MS 39350-9276
(601) 562-6146
Mailing address
562 STATE AVE, PHILADELPHIA, MS 39350-2792
(601) 562-6146
(601) 562-6146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
334824
MS
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
194265
MS
3747P1801X
Personal Care Attendant
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Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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