Provider Demographics
NPI:1558085514
Name:BARNES, HANNAH (RN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 COUNTY ROAD 615
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663-9573
Mailing Address - Country:US
Mailing Address - Phone:662-813-3537
Mailing Address - Fax:
Practice Address - Street 1:2441A COUNTY ROAD 501
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-9677
Practice Address - Country:US
Practice Address - Phone:662-837-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS912675163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse