Provider Demographics
NPI:1295871259
Name:BARKER, JOYCE DENISE (CFNP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:DENISE
Last Name:BARKER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 COUNTY ROAD 31
Mailing Address - Street 2:
Mailing Address - City:HEIDELBERG
Mailing Address - State:MS
Mailing Address - Zip Code:39439
Mailing Address - Country:US
Mailing Address - Phone:601-787-3486
Mailing Address - Fax:601-787-3400
Practice Address - Street 1:309 PINE AVE
Practice Address - Street 2:
Practice Address - City:HEIDELBERG
Practice Address - State:MS
Practice Address - Zip Code:39439
Practice Address - Country:US
Practice Address - Phone:601-787-3464
Practice Address - Fax:601-787-3400
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR624705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0116848Medicaid
MS0116848Medicaid