Provider Demographics
NPI:1508694233
Name:BARBER, COURTNEY READ (FNP-C)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:READ
Last Name:BARBER
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 S VAN BUREN RD STE B
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5418
Mailing Address - Country:US
Mailing Address - Phone:336-623-5171
Mailing Address - Fax:
Practice Address - Street 1:723 S VAN BUREN RD STE B
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5418
Practice Address - Country:US
Practice Address - Phone:336-623-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021797363LF0000X
VA0001272919163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency