Provider Demographics
NPI:1336130418
Name:DEATON, BARBARA JANE (APRN-BC)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:JANE
Last Name:DEATON
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:DEATON
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:304 S GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3578
Mailing Address - Country:US
Mailing Address - Phone:828-438-1125
Mailing Address - Fax:828-438-1119
Practice Address - Street 1:304 S GREEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3578
Practice Address - Country:US
Practice Address - Phone:828-438-1125
Practice Address - Fax:828-438-1119
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC500021338OtherMEDICARE RAILROAD ID #
NC500021338OtherMEDICARE RAILROAD ID #
NCP43700Medicare UPIN