Provider Demographics
NPI:1922457266
Name:DEARMAN, BARBARITA MABEL (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARITA
Middle Name:MABEL
Last Name:DEARMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:BARBIE
Other - Middle Name:MABEL
Other - Last Name:DEARMAN STOCKEBRAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:83 QUAIL RUN LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-3716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6600 U S HIGHWAY 98 STE B
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8441
Practice Address - Country:US
Practice Address - Phone:601-261-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSDEAR-V213RW363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily