Individual
MISS DIANA L BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
724 W 19TH ST, PANAMA CITY, FL 32405-4101
(850) 769-0336
(850) 769-6202
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1024062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257724100
—
FL
05
—
3028208-00
—
FL
01
—
74680
BCBSFL
FL
01
—
Y7528
BCBSFL
FL
Enumeration date
04/06/2007
Last updated
02/14/2020
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