Provider Demographics
NPI:1366672032
Name:BARNETT, REBECCA (MSN, ACNS-BC, AGNP-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:
Credentials:MSN, ACNS-BC, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 TOLHAM DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1430
Mailing Address - Country:US
Mailing Address - Phone:302-293-7982
Mailing Address - Fax:
Practice Address - Street 1:809 WESTMERE AVE STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5343
Practice Address - Country:US
Practice Address - Phone:833-625-3392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELP-0000116363LG0600X, 363LA2200X
DEL9-0000107364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health