Provider Demographics
NPI:1437628088
Name:BARNETT, REGENIA EVANS (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:REGENIA
Middle Name:EVANS
Last Name:BARNETT
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 REBEL RD
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8403
Mailing Address - Country:US
Mailing Address - Phone:865-617-6810
Mailing Address - Fax:865-270-3222
Practice Address - Street 1:111 REBEL RD
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8403
Practice Address - Country:US
Practice Address - Phone:865-617-6810
Practice Address - Fax:865-270-3222
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000080967163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health