Individual
ROGER DALE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
2946 WINFIELD DUNN PARKWAY, SUITE 107, KODAK, TN 37764
(865) 933-9950
(865) 465-3937
Mailing address
2946 WINFIELD DUNN PKWY STE 107, KODAK, TN 37764-4316
(865) 933-9950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
APN
TN
363L00000X
Nurse Practitioner
Primary
APN0000013355
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526565
—
TN
Enumeration date
03/24/2008
Last updated
06/09/2015
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