Individual
FRED T BARNETTE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
984 JACKSON STREET, MONROE, LA 71202
(318) 330-7300
Mailing address
984 JACKSON STREET, MONROE, LA 71202
(318) 330-7300
(318) 330-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN074682/AP05295
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024309
—
LA
Enumeration date
09/26/2007
Last updated
06/11/2019
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