Provider Demographics
NPI:1114191863
Name:TRUMBLE, BARBARA GRACE (FNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:GRACE
Last Name:TRUMBLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E MILLS ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-0018
Mailing Address - Country:US
Mailing Address - Phone:828-894-8213
Mailing Address - Fax:828-894-5775
Practice Address - Street 1:45 E MILLS ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-0018
Practice Address - Country:US
Practice Address - Phone:828-894-8213
Practice Address - Fax:828-894-5775
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC069679363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP21628Medicare UPIN
NC2599414Medicare PIN