Doctor Name: | CHASTITY A BARNETTE |
NPI Number: | 1447400064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | R855540 |
Business Practice Address: | 1117 Sunset Dr Ste 104 Grenada, MS - 389014080 |
Business Phone Number: | 6622260110 |
Business Fax Number: | 6622263700 |
Mailing Address: | 1117 Sunset Dr Ste 104, GRENADA |
State: | MS |
Postal Code: | 389014080 |
Phone Number: | 6622260110 |
Fax Number: | 6622263700 |
NPI Enumeration Date: | 09/19/2008 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R855540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |