Provider Demographics
NPI:1780232819
Name:BARRACLOUGH, SAMANTHA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MARIE
Last Name:BARRACLOUGH
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:104 WOODMONT BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:888-802-9885
Mailing Address - Fax:
Practice Address - Street 1:1211 CUSHMAN ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4680
Practice Address - Country:US
Practice Address - Phone:907-328-0989
Practice Address - Fax:855-259-0324
Is Sole Proprietor?:No
Enumeration Date:2019-09-02
Last Update Date:2023-07-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant