Healthcare Provider Details

I. General information

NPI: 1871238048
Provider Name (Legal Business Name): STEPHANIE BARNWELL LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 05/03/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 BULL CORNER RD
YEMASSEE SC
29945-7900
US

IV. Provider business mailing address

PO BOX 816
LOBECO SC
29931-0816
US

V. Phone/Fax

Practice location:
  • Phone: 843-473-0296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberP39520
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: