Provider Demographics
NPI:1659971380
Name:BARNES, LUCY M (FNP-C)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:M
Last Name:BARNES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 POPLAR SPRINGS DR.
Mailing Address - Street 2:STE. A, PMB 191
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-2678
Mailing Address - Country:US
Mailing Address - Phone:601-207-2017
Mailing Address - Fax:601-207-1227
Practice Address - Street 1:4555 35TH AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-2544
Practice Address - Country:US
Practice Address - Phone:601-207-2017
Practice Address - Fax:601-207-1227
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904202363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily