| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CLAIRISSA BARNES | 1881298750 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Dr. Clairissa Barnes AUD |
| Practice Office Address | 1215 21ST AVE S FL 9 NASHVILLE, TN US |
| Practice Office Telephone | 4023500498 |
| Mailing Address | 1215 21ST AVE S FL 9 NASHVILLE, TN 372320014 US |
| Business Telephone | 4023500498 |
| Code | License No | State |
|---|---|---|
| 231H00000X PRIMARY | 1999 | TN |