Provider Demographics
NPI:1003651225
Name:BARNETT, JOHN BRANDON
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:BRANDON
Last Name:BARNETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4488 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:NETTLETON
Mailing Address - State:MS
Mailing Address - Zip Code:38858-6038
Mailing Address - Country:US
Mailing Address - Phone:662-296-1984
Mailing Address - Fax:
Practice Address - Street 1:702 HIGHWAY 278 E
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-5309
Practice Address - Country:US
Practice Address - Phone:662-478-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health