Provider Demographics
NPI:1003650573
Name:BARNETT, PEYTON (DNP FNP)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:DNP FNP
Other - Prefix:
Other - First Name:PEYTON
Other - Middle Name:
Other - Last Name:MCMAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3901 GREENWELL RD
Mailing Address - Street 2:
Mailing Address - City:CARUTHERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63830-8201
Mailing Address - Country:US
Mailing Address - Phone:573-359-8294
Mailing Address - Fax:
Practice Address - Street 1:2550 PARR AVE
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-2033
Practice Address - Country:US
Practice Address - Phone:731-325-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily