Basic Information
| Provider Information | |||||||||
| NPI: | 1023345675 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARNETT | ||||||||
| FirstName: | MARILYN | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 S CLAYBROOK ST | ||||||||
| Address2: | A212 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381043539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9015168255 | ||||||||
| FaxNumber: | 9015168254 | ||||||||
| Practice Location | |||||||||
| Address1: | 251 S CLAYBROOK ST | ||||||||
| Address2: | A212 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381043539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9015168255 | ||||||||
| FaxNumber: | 9015168254 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2009 | ||||||||
| LastUpdateDate: | 10/23/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 12595 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.