Provider Demographics
NPI:1356080097
Name:BARGER, VANESSA LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:LYNN
Last Name:BARGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:LYNN
Other - Last Name:MOSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1143 23RD ST
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-2562
Mailing Address - Country:US
Mailing Address - Phone:812-629-6104
Mailing Address - Fax:
Practice Address - Street 1:1143 23RD ST
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-2562
Practice Address - Country:US
Practice Address - Phone:812-629-6104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN27060098A364SL0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care