Healthcare Provider Details

I. General information

NPI: 1083442776
Provider Name (Legal Business Name): CARMEN L BARNES ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/27/2024
Certification Date: 07/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 S CHERRY ST STE 26
PINE BLUFF AR
71601-5699
US

IV. Provider business mailing address

1510 N LEE ST
WHITE HALL AR
71602-4036
US

V. Phone/Fax

Practice location:
  • Phone: 501-313-0564
  • Fax:
Mailing address:
  • Phone: 870-671-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: