Basic Information
Provider Information
NPI: 1740726397
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNETT
FirstName: BRITNI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 990
Address2:  
City: DANVILLE
State: KY
PostalCode: 404230990
CountryCode: US
TelephoneNumber: 8592392318
FaxNumber:  
Practice Location
Address1: 187 WOLFORD AVE
Address2:  
City: LIBERTY
State: KY
PostalCode: 425393278
CountryCode: US
TelephoneNumber: 6067878348
FaxNumber: 6067870251
Other Information
ProviderEnumerationDate: 01/06/2017
LastUpdateDate: 01/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X3011004KYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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