Healthcare Provider Details

I. General information

NPI: 1609005057
Provider Name (Legal Business Name): NICOLE LEANN BARRETT NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

106 RIDENOUR AVE
GREENVILLE SC
29617-7926
US

V. Phone/Fax

Practice location:
  • Phone: 864-213-8600
  • Fax:
Mailing address:
  • Phone: 828-335-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN3164
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberN3164
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number5006210
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number192767
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number192767
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: