Individual
JABREAL LEA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1056 X RAY DR, GASTONIA, NC 28054-7488
(866) 700-1606
(866) 338-5921
Mailing address
4270 EVEREST DR, GASTONIA, NC 28054-0004
(704) 648-8533
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020639
NC
Other
Enumeration date
08/19/2024
Last updated
08/29/2024
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