Individual
LARRY BRYANT BARNARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 785-2807
(203) 785-2807
Mailing address
9 JACOB LN, KILLINGWORTH, CT 06419-1185
(843) 441-2829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214166
CT
363LF0000X
Family Nurse Practitioner
RN278883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214166
CONNECTICUT BOARD OF NURSING
CT
01
—
RN278883
GEORGIA BOARD OF NURSING
GA
Enumeration date
09/29/2021
Last updated
01/26/2025
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