NPI 1164978151 · live from the CMS NPI Registry
Chanell Chevelle Barnes, CPNP-PC
Nurse Practitioner, Primary Care in Columbus, MS. National Provider Identifier 1164978151, active.
NPI record
| NPI | 1164978151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 200 Park Creek Dr, Columbus, MS 39705 |
| Practice phone | 662-327-8410 |
| Mailing address | 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120 |
| Enumerated | August 30, 2016 |
| Last updated | May 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 901421 (MS) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 901421 (MS) |
| Nurse Practitioner, Primary Care primary | 363LP2300X | 901421 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.