Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaylen Leandre Holmes

Individual provider Non-emergency Medical Transport (VAN) · NPI 1053128637

Jaylen Leandre Holmes is a Non-emergency Medical Transport (VAN) in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

579 Simonton Oak Ln
Lawrenceville, GA 30045-3525
Phone: (317) 476-1877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 060490575 (GA)

Record details

NPI number1053128637
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

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