Provider Demographics
NPI:1235741109
Name:BARNES, SHEENA RENEE (FNP)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:RENEE
Last Name:BARNES
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 1:3518 HIGHWAY 184 E
Mailing Address - Street 2:
Mailing Address - City:SILVER CREEK
Mailing Address - State:MS
Mailing Address - Zip Code:39663-2374
Mailing Address - Country:US
Mailing Address - Phone:601-455-0621
Mailing Address - Fax:
Practice Address - Street 1:3518 HIGHWAY 184 E
Practice Address - Street 2:
Practice Address - City:SILVER CREEK
Practice Address - State:MS
Practice Address - Zip Code:39663-2374
Practice Address - Country:US
Practice Address - Phone:601-455-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR894543163W00000X
MSF02210788363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse