Provider Demographics
NPI:1194377226
Name:WECARE HEALTH CLINIC
Entity Type:Organization
Organization Name:WECARE HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-268-8221
Mailing Address - Street 1:823 HIGHWAY 12 W STE C
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3593
Mailing Address - Country:US
Mailing Address - Phone:662-268-8221
Mailing Address - Fax:662-268-8271
Practice Address - Street 1:823 HIGHWAY 12 W STE C
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3593
Practice Address - Country:US
Practice Address - Phone:662-268-8221
Practice Address - Fax:662-268-8271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty