Healthcare Provider Details

I. General information

NPI: 1124957618
Provider Name (Legal Business Name): BARBARA JO BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8932 JEWELLA AVE
SHREVEPORT LA
71118-2117
US

IV. Provider business mailing address

8932 JEWELLA AVE
SHREVEPORT LA
71118-2117
US

V. Phone/Fax

Practice location:
  • Phone: 318-219-4167
  • Fax: 318-219-4834
Mailing address:
  • Phone: 318-219-4167
  • Fax: 318-219-4834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number100637
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: