Joyce Denise Barker, CFNP

Individual provider Active NPI Family Nurse Practitioner · Heidelberg, MS

NPI 1295871259 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295871259
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R624705 (MS)
Practice address
309 Pine Ave
Heidelberg, MS 39439
Phone
(601) 787-3464
Fax
(601) 787-3400
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R624705MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Health Services,Inc. Past
since Jan 25, 2016
Accepting new patients
Outreach Health Services,Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R624705 MS Yes

Addresses

Primary practice location

309 Pine Ave
Heidelberg, MS 39439

Mailing address

905 County Road 31
Heidelberg, MS 39439
Phone (601) 787-3486

Other identifiers

IdentifierTypeStateIssuer
0116848MedicaidMS

Other providers in Heidelberg, MS

All providers in Heidelberg, MS · Family Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.