Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 902619 | MS |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 902619 | MS |
NPI | 1063053817 |
---|---|
Provider Name | Mrs. Brittany Sharda Barnes |
First Address | Vicksburg, MS 39183-2017 |
Second Address | Vicksburg, MS 39183-2751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 02/10/2019 |