Provider Demographics
NPI:1427160191
Name:BARNETT, TAMMY LYNN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 MARTIN LUTHER KING JR. DR.
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:GA
Mailing Address - Zip Code:31029-1648
Mailing Address - Country:US
Mailing Address - Phone:478-994-1010
Mailing Address - Fax:478-994-1080
Practice Address - Street 1:97 MARTIN LUTHER KING JR. DR.
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:GA
Practice Address - Zip Code:31029-1648
Practice Address - Country:US
Practice Address - Phone:478-994-1010
Practice Address - Fax:478-994-1080
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN147543NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA319986OtherWELLCARE
GA909024200AMedicaid
GA10033119OtherAMERIGROUP
GA1153700002OtherPEACHSTATE
GA50BBJDNMedicare PIN
GA319986OtherWELLCARE