Provider Demographics
NPI:1124905443
Name:BANKS, BRITTNEY JENAE
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:JENAE
Last Name:BANKS
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 1:2455 WELDWOOD DR APT 13104
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-5869
Mailing Address - Country:US
Mailing Address - Phone:662-715-7828
Mailing Address - Fax:
Practice Address - Street 1:2455 WELDWOOD DR APT 13104
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-5869
Practice Address - Country:US
Practice Address - Phone:662-715-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator