Provider Demographics
NPI:1831902634
Name:BARNETT, NICOLE (MBA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12514 DONEGAL WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2810
Mailing Address - Country:US
Mailing Address - Phone:713-485-0723
Mailing Address - Fax:
Practice Address - Street 1:12514 DONEGAL WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-2810
Practice Address - Country:US
Practice Address - Phone:713-485-0723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBLF-0000295374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide