Doctor Name: | MS. CONNIE JUNE BARNETT |
NPI Number: | 1043363575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, APRN-BC |
License Number: | RN060037-NP |
Business Practice Address: | 23702 Highway 80 E Statesboro, GA - 304610845 |
Business Phone Number: | 9124894090 |
Business Fax Number: | |
Mailing Address: | 147 Belmont Dr, GUYTON |
State: | GA |
Postal Code: | 313125126 |
Phone Number: | 9127286664 |
Fax Number: | 9126534357 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN060037-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |