Provider Demographics
NPI:1760010839
Name:BARNETTE, MEREDITH M (RN)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:M
Last Name:BARNETTE
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 1:812 HEYWARD CV
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-4964
Mailing Address - Country:US
Mailing Address - Phone:803-622-6699
Mailing Address - Fax:
Practice Address - Street 1:1872 S GRIMBALL RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-8013
Practice Address - Country:US
Practice Address - Phone:843-762-8240
Practice Address - Fax:843-762-8250
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC78631163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool