Provider Demographics
NPI:1225243645
Name:BARNETT, NANCIE ELIZABETH (FNP)
Entity Type:Individual
Prefix:MISS
First Name:NANCIE
Middle Name:ELIZABETH
Last Name:BARNETT
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 1:1713 FAIRINGTON LN
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-1543
Mailing Address - Country:US
Mailing Address - Phone:209-262-0734
Mailing Address - Fax:
Practice Address - Street 1:1713 FAIRINGTON LN
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-1543
Practice Address - Country:US
Practice Address - Phone:209-262-0734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 11939363LW0102X
CANP11939363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health