Provider Demographics
NPI:1952688954
Name:WEEKS, BARBARA JANE (LPN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JANE
Last Name:WEEKS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:TN
Mailing Address - Zip Code:38061
Mailing Address - Country:US
Mailing Address - Phone:173-610-2970
Mailing Address - Fax:
Practice Address - Street 1:725 E POPLAR AVE
Practice Address - Street 2:
Practice Address - City:SELMER
Practice Address - State:TN
Practice Address - Zip Code:38375-1800
Practice Address - Country:US
Practice Address - Phone:731-645-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000065567164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse