Healthcare Provider Details

I. General information

NPI: 1487108767
Provider Name (Legal Business Name): KIMBERLY BARNETT AG-ACNP-BC, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2016
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FOGG RD
SOUTH WEYMOUTH MA
02190-2432
US

IV. Provider business mailing address

700 KEMPTON ST
NEW BEDFORD MA
02740-3700
US

V. Phone/Fax

Practice location:
  • Phone: 781-624-8000
  • Fax:
Mailing address:
  • Phone: 508-317-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN002301
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2324150
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: