Healthcare Provider Details

I. General information

NPI: 1649763046
Provider Name (Legal Business Name): AMBER R BARKER APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER MESSAMORE

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 N HIGHWAY 27 STE 7
SCIENCE HILL KY
42553-9140
US

IV. Provider business mailing address

5775 N HIGHWAY 27 STE 7
SCIENCE HILL KY
42553-9140
US

V. Phone/Fax

Practice location:
  • Phone: 606-685-6131
  • Fax: 606-685-6179
Mailing address:
  • Phone: 606-685-6131
  • Fax: 606-685-6179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3012399
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: