Healthcare Provider Details

I. General information

NPI: 1609847441
Provider Name (Legal Business Name): PAUL WESLEY BARRETT C.F.N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 09/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 HOSPITAL DR
COLUMBUS MS
39705-1920
US

IV. Provider business mailing address

321 HOSPITAL DR
COLUMBUS MS
39705-1920
US

V. Phone/Fax

Practice location:
  • Phone: 662-327-2921
  • Fax: 662-328-6858
Mailing address:
  • Phone: 662-327-2921
  • Fax: 662-328-6858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR827931
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: