Provider Demographics
NPI:1356108716
Name:BARNETT, ASHLEY (ASHLEY BARNETT CPT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:ASHLEY BARNETT CPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ASHLEY BARNETT CPT
Mailing Address - Street 1:245 DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:HOLLANDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38748-9741
Mailing Address - Country:US
Mailing Address - Phone:662-931-6557
Mailing Address - Fax:
Practice Address - Street 1:245 DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:HOLLANDALE
Practice Address - State:MS
Practice Address - Zip Code:38748-9741
Practice Address - Country:US
Practice Address - Phone:662-931-6557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20-042517Y246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy