Healthcare Provider Details

I. General information

NPI: 1598239592
Provider Name (Legal Business Name): CHRISTINA LEIGH BARNETT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 01/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2337 SIR BARTON WAY
LEXINGTON KY
40509-2474
US

IV. Provider business mailing address

1829 BAHAMA RD
LEXINGTON KY
40509-9537
US

V. Phone/Fax

Practice location:
  • Phone: 859-245-7546
  • Fax:
Mailing address:
  • Phone: 859-559-2618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number3013004
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: