MEDICARE: STEPHANIE FAITH BARNETT 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	363LF0000X	Family Nurse Practitioner	F09170013	AL

General Provider Information

NPI Number	:	1295245298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE FAITH BARNETT CRNP

Provider Business Mailing Address
First Line	:	143 CORMORANT LNDG
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-5000
Country	:	US
Telephone Number	:	256-339-1067
Fax Number	:

Provider Business Practice Location Address
First Line	:	12205 COUNTY LINE RD STE C
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-7720
Country	:	US
Telephone Number	:	256-246-8575
Fax Number	:

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

Provider Enumeration Date	:	10/04/2017
Last Update Date	:	10/05/2022

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