Provider Demographics
NPI:1598849739
Name:BARNES, SHERI L (APRN/NP)
Entity type:Individual
Prefix:MISS
First Name:SHERI
Middle Name:L
Last Name:BARNES
Suffix:
Gender:F
Credentials:APRN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1463 INDIANAPOLIS BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:IN
Mailing Address - Zip Code:46394-1132
Mailing Address - Country:US
Mailing Address - Phone:219-742-2810
Mailing Address - Fax:
Practice Address - Street 1:720 45TH STREET
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321
Practice Address - Country:US
Practice Address - Phone:219-934-6410
Practice Address - Fax:219-924-3143
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28184161A363LP0808X
IN71003184A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health