Brock Patrick Barnett
Nurse Practitioner in Saint Joseph, MI. Individual provider (NPI-1).
NPI number1346922341
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1346922341
- Entity type
- Individual (NPI-1)
- Name
- Brock Patrick Barnett
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704260846 | MI | Yes |
| 363LF0000X | Nurse Practitioner, Family | 4704260846 | MI |
Practice location
3950 Hollywood Rd Ste 110Saint Joseph, MI 49085-9151
Phone 269-985-1000
Mailing address
3950 Hollywood Rd Ste 110Saint Joseph, MI 49085-9151
Other practice locations
2460 Burton St Se Ste 300
Grand Rapids, MI 49546-4800
Grand Rapids, MI 49546-4800
Phone 616-805-3846
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