Healthcare Provider Details

I. General information

NPI: 1790785079
Provider Name (Legal Business Name): FRANCES H BARNETT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 HIGHWAY 28 SUITE 104
JASPER TN
37347-3695
US

IV. Provider business mailing address

980 HIGHWAY 28 SUITE 200
JASPER TN
37347-3695
US

V. Phone/Fax

Practice location:
  • Phone: 423-942-3869
  • Fax: 423-942-2472
Mailing address:
  • Phone: 423-942-3869
  • Fax: 423-942-2472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number014567
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: