Healthcare Provider Details

I. General information

NPI: 1366672032
Provider Name (Legal Business Name): REBECCA BARNETT MSN, ACNS-BC, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 WESTMERE AVE STE A
CHARLOTTE NC
28208-5343
US

IV. Provider business mailing address

587 TOLHAM DR
BEAR DE
19701-1430
US

V. Phone/Fax

Practice location:
  • Phone: 833-625-3392
  • Fax:
Mailing address:
  • Phone: 302-293-7982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberLP-0000116
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberL9-0000107
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLP-0000116
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: