Provider Demographics
NPI:1679822340
Name:BARNES, VANESSA RENEE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:RENEE
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 1:2620 E CROSSTIMBERS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-8629
Mailing Address - Country:US
Mailing Address - Phone:713-208-3086
Mailing Address - Fax:
Practice Address - Street 1:2620 E CROSSTIMBERS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-8629
Practice Address - Country:US
Practice Address - Phone:713-208-3086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX537048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB165492Medicare PIN