Provider Demographics
NPI:1346520202
Name:BARNES, SHEENA NICOLE (LPN)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:NICOLE
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 BURSTOCK CT APT B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-3364
Mailing Address - Country:US
Mailing Address - Phone:614-405-1023
Mailing Address - Fax:
Practice Address - Street 1:1710 BURSTOCK CT APT B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-3364
Practice Address - Country:US
Practice Address - Phone:614-405-1023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN142185164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse