Provider Demographics
NPI:1427769157
Name:BARNETT, SYDNEY MORGAN JEAN (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:MORGAN JEAN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 BAILEY CIR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-5823
Mailing Address - Country:US
Mailing Address - Phone:681-209-6586
Mailing Address - Fax:
Practice Address - Street 1:709 BEECHURST AVE
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-0331
Practice Address - Country:US
Practice Address - Phone:304-212-5663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVL-309991163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant