Provider Demographics
NPI:1659199933
Name:BARRICK, BILLIE JO (RN)
Entity type:Individual
Prefix:
First Name:BILLIE JO
Middle Name:
Last Name:BARRICK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:JO
Other - Last Name:BARRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:591 WILLOW GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7734
Mailing Address - Country:US
Mailing Address - Phone:717-448-3095
Mailing Address - Fax:
Practice Address - Street 1:591 WILLOW GROVE RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7734
Practice Address - Country:US
Practice Address - Phone:717-448-3095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN691018163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse