Provider Demographics
NPI:1508364738
Name:BARNETT, COURTNEY MCINTYRE (NP)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:MCINTYRE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 WALNUT RUN DR
Mailing Address - Street 2:
Mailing Address - City:DEEP RUN
Mailing Address - State:NC
Mailing Address - Zip Code:28525-9498
Mailing Address - Country:US
Mailing Address - Phone:252-521-3392
Mailing Address - Fax:919-580-0988
Practice Address - Street 1:2705 MEDICAL OFFICE PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9458
Practice Address - Country:US
Practice Address - Phone:919-731-2526
Practice Address - Fax:919-580-0988
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily