Provider Demographics
NPI:1073248936
Name:BARNES, PRISCILLA GRACE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:GRACE
Last Name:BARNES
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13022 TRAIL HOLLOW DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3739
Mailing Address - Country:US
Mailing Address - Phone:713-823-3777
Mailing Address - Fax:
Practice Address - Street 1:13022 TRAIL HOLLOW DR UNIT A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3739
Practice Address - Country:US
Practice Address - Phone:713-823-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-23
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783843163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice