Provider Demographics
NPI:1801649124
Name:BARNHILL, MADELYNN JAE (PA)
Entity type:Individual
Prefix:
First Name:MADELYNN
Middle Name:JAE
Last Name:BARNHILL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 EZRA EMISON RD
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TN
Mailing Address - Zip Code:38006-4243
Mailing Address - Country:US
Mailing Address - Phone:731-571-8555
Mailing Address - Fax:
Practice Address - Street 1:340 EZRA EMISON RD
Practice Address - Street 2:
Practice Address - City:BELLS
Practice Address - State:TN
Practice Address - Zip Code:38006-4243
Practice Address - Country:US
Practice Address - Phone:731-571-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant