Provider Demographics
NPI:1629764550
Name:BARNES, GINGER NICHOLE (RN)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:NICHOLE
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 1:202 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:TN
Mailing Address - Zip Code:38382-3400
Mailing Address - Country:US
Mailing Address - Phone:731-298-4418
Mailing Address - Fax:
Practice Address - Street 1:202 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:TN
Practice Address - Zip Code:38382-3400
Practice Address - Country:US
Practice Address - Phone:731-298-4418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000254129163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse