Provider Demographics
NPI:1053626358
Name:BARTON, DEANA (APN)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JELLICO
Mailing Address - State:TN
Mailing Address - Zip Code:37762-2018
Mailing Address - Country:US
Mailing Address - Phone:423-784-6660
Mailing Address - Fax:423-784-6659
Practice Address - Street 1:213 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JELLICO
Practice Address - State:TN
Practice Address - Zip Code:37762-2018
Practice Address - Country:US
Practice Address - Phone:423-784-6660
Practice Address - Fax:423-784-6659
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily