Individual
TRAVIS LANE BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1000
Mailing address
2106 N BRIARWOOD LN, FAYETTEVILLE, AR 72703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
120304
AR
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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