Healthcare Provider Details

I. General information

NPI: 1861402414
Provider Name (Legal Business Name): SHIRLEY R BARNETT FNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 TOWNSHIP ROAD 375
TORONTO OH
43964-7984
US

IV. Provider business mailing address

905 TOWNSHIP ROAD 375
TORONTO OH
43964-7984
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-1363
  • Fax: 740-284-0060
Mailing address:
  • Phone: 740-283-1363
  • Fax: 740-284-0060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRN138645
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN138645
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: