Provider Demographics
NPI:1093400384
Name:BARNES, XIMENA LUZ (FNP)
Entity Type:Individual
Prefix:
First Name:XIMENA
Middle Name:LUZ
Last Name:BARNES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:XIMENA
Other - Middle Name:LUZ
Other - Last Name:VILLARROEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:360 HOSPITAL DR STE 110
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-8052
Mailing Address - Country:US
Mailing Address - Phone:478-841-2707
Mailing Address - Fax:
Practice Address - Street 1:360 HOSPITAL DR, MACON
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217
Practice Address - Country:US
Practice Address - Phone:904-515-7450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAN292012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily