Provider Demographics
NPI:1013772326
Name:BARKLEY, CHRISTOPHER LUKE (CRNP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LUKE
Last Name:BARKLEY
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BROOKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:DEATSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36022-3273
Mailing Address - Country:US
Mailing Address - Phone:334-462-3992
Mailing Address - Fax:
Practice Address - Street 1:14 BROOKSHIRE DR
Practice Address - Street 2:
Practice Address - City:DEATSVILLE
Practice Address - State:AL
Practice Address - Zip Code:36022-3273
Practice Address - Country:US
Practice Address - Phone:334-462-3992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-153589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily