MEDICARE: MS. CARRIE BARNES CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1029674	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033298856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARRIE BARNES CRNP

Provider Business Mailing Address
First Line	:	PO BOX 2213
Second Line	:
City	:	SELMA
State	:	AL
Zip	:	36702-2213
Country	:	US
Telephone Number	:	334-963-4201
Fax Number	:

Provider Business Practice Location Address
First Line	:	7079 HIGHWAY 10 W
Second Line	:
City	:	PINE HILL
State	:	AL
Zip	:	36769-3326
Country	:	US
Telephone Number	:	334-963-4201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	05/24/2011

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