Doctor Name: | MS. MELISSA DAWN BARNES |
NPI Number: | 1932564432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 96851 |
Business Practice Address: | 704 S 8th St Mcloud, OK - 748518633 |
Business Phone Number: | 4059646463 |
Business Fax Number: | |
Mailing Address: | Po Box 530, MCLOUD |
State: | OK |
Postal Code: | 748510530 |
Phone Number: | 4059646463 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2015 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 96851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |