Healthcare Provider Details

I. General information

NPI: 1003531328
Provider Name (Legal Business Name): ADAM HEATH BARKER FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 10/10/2022
Certification Date: 10/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 FISHER CREEK RD
SYLVA NC
28779-7700
US

IV. Provider business mailing address

PO BOX 1371
BRYSON CITY NC
28713-1371
US

V. Phone/Fax

Practice location:
  • Phone: 828-477-4399
  • Fax:
Mailing address:
  • Phone: 828-788-6171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017026
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: