MEDICARE: DR. ALLISON BREANNE BARNES DNP, APRN, 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
1	363LF0000X	Family Nurse Practitioner	1145154	TX

General Provider Information

NPI Number	:	1659149532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON BREANNE BARNES DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	2637 WAYSIDE AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-2216
Country	:	US
Telephone Number	:	512-922-6533
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 VISION DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1182
Country	:	US
Telephone Number	:	817-259-2365
Fax Number	:

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

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	12/19/2023

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