Provider Demographics
NPI:1730469958
Name:BARTON, BRENDA DARLENE (NP-C)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:DARLENE
Last Name:BARTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6141 SHALLOWFORD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1663
Mailing Address - Country:US
Mailing Address - Phone:423-650-1922
Mailing Address - Fax:423-498-2001
Practice Address - Street 1:2130 CHAMBLISS AVE NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3839
Practice Address - Country:US
Practice Address - Phone:423-984-2000
Practice Address - Fax:423-498-2001
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15978363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily