Provider Demographics
NPI:1457501025
Name:BARKER, WILLIAM N JR (ACNP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:N
Last Name:BARKER
Suffix:JR
Gender:M
Credentials:ACNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4207
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75606-4207
Mailing Address - Country:US
Mailing Address - Phone:903-315-4119
Mailing Address - Fax:903-315-4130
Practice Address - Street 1:703 E MARSHALL AVE
Practice Address - Street 2:SUITE 5008
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5500
Practice Address - Country:US
Practice Address - Phone:903-315-4880
Practice Address - Fax:903-315-2833
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP117340363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care