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General NPI Number Information
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NPI Number | 1972783793
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Entity Type | Individual
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Provider Name | KASSIE JANETTE BARNES CPNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 108 4TH AVE S
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City | BAXTER
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State | TN
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Zip | 38544-5145
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Country | US
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Telephone | 931-255-4100
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Fax | 931-250-8925
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Provider Business Mailing Address
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Address Line | 150 N WILLOW AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2368
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Country | US
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Telephone | 931-528-1485
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Fax | 931-526-4233
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 12933
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License Number State | TN
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