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NPI Code Detail

MEDICARE: KASSIE JANETTE BARNES CPNP

MEDICARE:   KASSIE JANETTE BARNES  CPNP
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
1363LP0200XPediatric Nurse Practitioner12933TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31972783793OTHERTNKASSIE BARNES NPI

General Provider Information

NPI Number : 1972783793
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASSIE JANETTE BARNES CPNP
Provider Business Mailing Address
First Line : 150 N WILLOW AVE
Second Line :
City : COOKEVILLE
State : TN
Zip : 38501-2368
Country : US
Telephone Number : 931-528-1485
Fax Number : 931-526-4233
Provider Business Practice Location Address
First Line : 108 4TH AVE S
Second Line :
City : BAXTER
State : TN
Zip : 38544-5145
Country : US
Telephone Number : 931-255-4100
Fax Number : 931-250-8925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 05/09/2024

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Directions to “ KASSIE JANETTE BARNES CPNP” Practice Location

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