Individual
CARLY VICTORIA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
2103 FOREST DR STE 5, GRAY, TN 37615-8423
(423) 794-3142
(423) 794-3184
Mailing address
2 WORTH CIR STE 2, JOHNSON CITY, TN 37601-4306
(423) 262-8006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000212538
TN
363LF0000X
Family Nurse Practitioner
Primary
0000026567
TN
Other
Enumeration date
11/09/2016
Last updated
12/13/2024
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