Barnes, Kassie Janette

Barnes, Kassie Janette is an individual health care provider with primary practice located at 108 4Th Ave S , Baxter TN 38544-5145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Barnes, Kassie Janette can be contacted via phone (931) 255-4100.

Contact Information

Primary practice address
108 4Th Ave S Baxter TN 38544-5145
Phone: (931) 255-4100
Fax: (931) 250-8925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 12933 Tennessee

Profile Details

NPI number 1972783793
LBN Legal business name Barnes, Kassie Janette
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated May 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972783793 NPPES
Tennessee MEDICAID 5440812
Tennessee MEDICAID 151770
Tennessee Other 1972783793

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