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NPI Code Detail

MEDICARE: MANDA LYNN BARNETT FNP-BC

MEDICARE: MANDA LYNN BARNETT FNP-BC
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
1363LF0000XFamily Nurse PractitionerRN134514GA

General Provider Information

NPI Number : 1215099700
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDA LYNN BARNETT FNP-BC
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 12 7TH ST
Second Line :
City : AUBURN
State : GA
Zip : 30011-3202
Country : US
Telephone Number : 770-848-9320
Fax Number : 770-848-9321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 10/07/2025

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