Individual
MRS. CHANELL CHEVELLE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
200 PARK CREEK DR, COLUMBUS, MS 39705-1309
(662) 327-8410
(662) 327-9749
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
901421
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
901421
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
901421
MS
Other
Enumeration date
08/30/2016
Last updated
05/18/2022
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