Provider Demographics
NPI:1053126581
Name:BARBER, FELICIA LEANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:LEANN
Last Name:BARBER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 RESEARCH BLVD STE LL2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5200
Mailing Address - Country:US
Mailing Address - Phone:512-518-4673
Mailing Address - Fax:
Practice Address - Street 1:11111 RESEARCH BLVD STE LL2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5200
Practice Address - Country:US
Practice Address - Phone:512-518-4673
Practice Address - Fax:512-334-2760
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1166968363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner