Doctor Name: | JOYCE DENISE BARKER |
NPI Number: | 1295871259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | R624705 |
Business Practice Address: | 309 Pine Ave Heidelberg, MS - 39439 |
Business Phone Number: | 6017873464 |
Business Fax Number: | 6017873400 |
Mailing Address: | 905 County Road 31, HEIDELBERG |
State: | MS |
Postal Code: | 39439 |
Phone Number: | 6017873486 |
Fax Number: | 6017873400 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R624705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |