Provider Demographics
NPI:1508107798
Name:BARKER, ONEICA (DNP)
Entity type:Individual
Prefix:
First Name:ONEICA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ONEICA
Other - Middle Name:
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:720 WATERS RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7346
Mailing Address - Country:US
Mailing Address - Phone:757-232-9859
Mailing Address - Fax:
Practice Address - Street 1:250 W BRAMBLETON AVE STE 201
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1505
Practice Address - Country:US
Practice Address - Phone:757-232-9859
Practice Address - Fax:757-276-7016
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-13
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX750650363LP0200X
VA0024170776208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics