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NPI Code Detail

MEDICARE: GLENDA R. BARRETT FNP

MEDICARE:   GLENDA R. BARRETT  FNP
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 PractitionerR562866MS

Other Identifiers

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

General Provider Information

NPI Number : 1518949262
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA R. BARRETT FNP
Provider Business Mailing Address
First Line : PO BOX 2106
Second Line :
City : MERIDIAN
State : MS
Zip : 39302-2106
Country : US
Telephone Number : 601-703-4282
Fax Number : 601-703-4597
Provider Business Practice Location Address
First Line : 24345 HIGHWAY 15
Second Line :
City : UNION
State : MS
Zip : 39365-8575
Country : US
Telephone Number : 601-774-8211
Fax Number : 601-774-8589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 11/06/2013

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Directions to “ GLENDA R. BARRETT FNP” Practice Location

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