Provider Demographics
NPI:1659149532
Name:BARNES, ALLISON BREANNE (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BREANNE
Last Name:BARNES
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2637 WAYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-2216
Mailing Address - Country:US
Mailing Address - Phone:512-922-6533
Mailing Address - Fax:
Practice Address - Street 1:3701 VISION DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1182
Practice Address - Country:US
Practice Address - Phone:817-259-2365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty