Individual
KASSIE JANETTE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
108 4TH AVE S, BAXTER, TN 38544-5145
(931) 255-4100
(931) 250-8925
Mailing address
150 N WILLOW AVE, COOKEVILLE, TN 38501-2368
(931) 528-1485
(931) 526-4233
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12933
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151770
—
TN
01
—
1972783793
KASSIE BARNES NPI
TN
05
—
5440812
—
TN
Enumeration date
11/08/2007
Last updated
05/09/2024
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