Provider Demographics
NPI:1124320270
Name:BARNHART, MELINDA JO (LPN)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:JO
Last Name:BARNHART
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:PO BOX 604
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-0604
Mailing Address - Country:US
Mailing Address - Phone:740-342-2872
Mailing Address - Fax:
Practice Address - Street 1:10680 TOWNSHIP ROAD 402 NE
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-9071
Practice Address - Country:US
Practice Address - Phone:740-342-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN103480-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse