Healthcare Provider Details

I. General information

NPI: 1831562263
Provider Name (Legal Business Name): CARRIE K BARNES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10029 CLEVELAND AVE SE
MAGNOLIA OH
44643-9781
US

IV. Provider business mailing address

10029 CLEVELAND AVE SE
MAGNOLIA OH
44643-9781
US

V. Phone/Fax

Practice location:
  • Phone: 234-386-0306
  • Fax: 234-386-0108
Mailing address:
  • Phone: 234-386-0306
  • Fax: 234-386-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0027971
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0027971
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: