Provider Demographics
NPI:1518052653
Name:BARNS, CATHRYN JONES (FNP)
Entity Type:Individual
Prefix:MS
First Name:CATHRYN
Middle Name:JONES
Last Name:BARNS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NOTRE DAME LN
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-4817
Mailing Address - Country:US
Mailing Address - Phone:315-868-6631
Mailing Address - Fax:315-738-0347
Practice Address - Street 1:1 NOTRE DAME LN
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4817
Practice Address - Country:US
Practice Address - Phone:315-868-6631
Practice Address - Fax:315-738-0347
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3018451363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02565406Medicaid
NYP00464075OtherMEDICARE RAILROAD
NYRB6228Medicare PIN