Provider Demographics
NPI:1619842846
Name:BARNETT WELLNESS, PLLC
Entity type:Organization
Organization Name:BARNETT WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO, NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MNSC, APRN, PMHNP-BC
Authorized Official - Phone:903-748-6227
Mailing Address - Street 1:3472 MC 43
Mailing Address - Street 2:
Mailing Address - City:FOUKE
Mailing Address - State:AR
Mailing Address - Zip Code:71837-9123
Mailing Address - Country:US
Mailing Address - Phone:903-309-1876
Mailing Address - Fax:479-239-8415
Practice Address - Street 1:3472 MC 43
Practice Address - Street 2:
Practice Address - City:FOUKE
Practice Address - State:AR
Practice Address - Zip Code:71837-9123
Practice Address - Country:US
Practice Address - Phone:903-309-1876
Practice Address - Fax:479-239-8415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty