Individual
GLENDA R. BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24345 HIGHWAY 15, UNION, MS 39365-8575
(601) 774-8211
(601) 774-8589
Mailing address
PO BOX 2106, MERIDIAN, MS 39302-2106
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R562866
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114873
—
MS
Enumeration date
11/17/2005
Last updated
11/06/2013
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