Healthcare Provider Details

I. General information

NPI: 1376001164
Provider Name (Legal Business Name): BARBARA LYNN JOSEPH NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 KATE IRELAND DR
HYDEN KY
41749-9071
US

IV. Provider business mailing address

130 KATE IRELAND DR
HYDEN KY
41749-9071
US

V. Phone/Fax

Practice location:
  • Phone: 606-672-2341
  • Fax: 606-672-5254
Mailing address:
  • Phone: 606-672-2341
  • Fax: 606-672-5254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013295
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: